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General NPI Number Information
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NPI Number | 1427140896
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Entity Type | Organization
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Legal Business Name | SPEECH SERVICES OF NORTHEAST ALABAMA, INC.
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Dates
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Enumeration Date | 09/29/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 706 SUNNY EVE RD
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City | ANNISTON
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State | AL
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Zip | 36207-4512
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Country | US
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Telephone | 256-831-4669
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Fax |
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Provider Business Mailing Address
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Address Line | 744 SUNNY EVE RD
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City | ANNISTON
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State | AL
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Zip | 36207-4512
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Country | US
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Telephone | 256-831-4669
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Fax |
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Authorized Official
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Title or Position | PRESIDENT/SPEECH THERAPIST
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Name | MRS. MAXINE BENTLEY
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Credential | M. S. CCC-SLP
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Telephone | 256-831-4669
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 1650
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License Number State | AL
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Taxonomy #2
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 829
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License Number State | AL
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Taxonomy #3
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PTH778
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License Number State | AL
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