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General NPI Number Information
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NPI Number | 1376035410
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Entity Type | Organization
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Legal Business Name | OWENS SPEECH SERVICES, LLC
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Dates
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Enumeration Date | 06/05/2018
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Last Update Date | 06/05/2018
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Provider Practice Location Address
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Address Line | 401 BARFIELD COURT
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City | DUBLIN
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State | GA
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Zip | 31021
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Country | US
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Telephone | 478-290-2948
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Fax |
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Provider Business Mailing Address
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Address Line | 401 BARFIELD COURT
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City | DUBLIN
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State | GA
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Zip | 31021
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Country | US
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Telephone | 478-290-2948
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MRS. LAUREN T OWENS
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Credential | M.ED CLL-SLP
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Telephone | 478-290-2948
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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 | SLP007393
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License Number State | GA
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