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NPI 1407985104

NPI 1407985104 : PLAYING WITH SPEECH, LLC : SUMMERVILLE, SC

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General NPI Number Information
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    NPI Number           |    1407985104
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    Entity Type          |    Organization 
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    Legal Business Name  |    PLAYING WITH SPEECH, LLC 
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Dates
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    Enumeration Date     |    03/06/2007
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    Last Update Date     |    01/30/2023
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Provider Practice Location Address
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    Address Line         |    505 RHYTHM ST 
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    City                 |    SUMMERVILLE
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    State                |    SC
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    Zip                  |    29486-5443
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    Country              |    US
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    Telephone            |    843-819-2948
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    Fax                  |    843-793-3777
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Provider Business Mailing Address
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    Address Line         |    505 RHYTHM ST 
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    City                 |    SUMMERVILLE
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    State                |    SC
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    Zip                  |    29486-5443
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    Country              |    US
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    Telephone            |    843-819-2948
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    Fax                  |    843-793-3777
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Authorized Official
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    Title or Position    |    OWNER/SLP
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    Name                 |    MRS. AMY BROCK SIEGENTHALER 
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    Credential           |    M.A. CCC/SLP
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    Telephone            |    843-819-2948
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    261QH0700X
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    Taxonomy Name        |    Hearing and Speech Clinic/Center
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    License Number       |    3539
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    License Number State |    SC
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