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General NPI Number Information
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NPI Number | 1417266503
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Entity Type | Organization
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Legal Business Name | CHATTER BOX THERAPY SERVICES, PLLC
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Dates
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Enumeration Date | 10/06/2010
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Last Update Date | 10/06/2010
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Provider Practice Location Address
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Address Line | 5891 HIGHWAY 49 SUITE 60-118
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City | HATTIESBURG
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State | MS
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Zip | 39402-2810
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Country | US
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Telephone | 601-818-0103
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Fax | 601-812-5424
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Provider Business Mailing Address
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Address Line | 5891 HIGHWAY 49 SUITE 60-118
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City | HATTIESBURG
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State | MS
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Zip | 39402-2810
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Country | US
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Telephone | 601-818-0103
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Fax | 601-812-5424
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Authorized Official
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Title or Position | OWNER/SPEECH LANGUAGE PATHOLOGIST
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Name | MRS. HEATHER ORGERON FRIED
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Credential | MS, CCC-SLP
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Telephone | 601-818-0103
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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 | S3205
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License Number State | MS
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