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General NPI Number Information
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NPI Number | 1366763088
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Entity Type | Organization
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Legal Business Name | BEYOND WORDS SPEECH THERAPY, LLC
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Dates
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Enumeration Date | 06/16/2010
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Last Update Date | 06/16/2010
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Provider Practice Location Address
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Address Line | 545 BIRCH CIR
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City | PEARL CITY
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State | HI
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Zip | 96782-2506
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Country | US
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Telephone | 907-903-7762
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Fax | 866-577-8216
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Provider Business Mailing Address
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Address Line | 545 BIRCH CIR
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City | PEARL CITY
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State | HI
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Zip | 96782-2506
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Country | US
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Telephone | 907-903-7762
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Fax | 866-577-8216
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Authorized Official
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Title or Position | SPEECH-LANGUAGE PATHOLOGIST
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Name | EMILY WHITEHOUSE
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Credential |
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Telephone | 907-903-7762
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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 | 1099
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License Number State | HI
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