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General NPI Number Information
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NPI Number | 1366655698
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Entity Type | Organization
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Legal Business Name | LANGUAGE EXPRESS
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Dates
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Enumeration Date | 05/07/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 7423 CLANCY WAY
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City | WESTERVILLE
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State | OH
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Zip | 43082-9307
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Country | US
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Telephone | 614-895-0569
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Fax |
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Provider Business Mailing Address
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Address Line | 7423 CLANCY WAY
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City | WESTERVILLE
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State | OH
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Zip | 43082-9307
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | SPEECH LANGUAGE PATHOLOGIST
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Name | DAWN SWANSON
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Credential | M.A., CCC-SLP
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Telephone | 614-895-0569
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | SP.7677
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License Number State | OH
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