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General NPI Number Information
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NPI Number | 1396165130
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Entity Type | Organization
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Legal Business Name | PIPSQUEAK SPEECH THERAPY
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Dates
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Enumeration Date | 04/20/2014
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Last Update Date | 04/20/2014
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Provider Practice Location Address
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Address Line | 521B HAMILTON AVE
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City | NASHVILLE
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State | TN
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Zip | 37203-5334
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Country | US
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Telephone | 931-808-0060
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Fax |
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Provider Business Mailing Address
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Address Line | 521B HAMILTON AVE
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City | NASHVILLE
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State | TN
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Zip | 37203-5334
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Country | US
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Telephone | 931-808-0060
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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 | REBECCA BARRETT MOORE
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Credential | CCC-SLP
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Telephone | 931-808-0060
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number | 0000004765
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License Number State | TN
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