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General NPI Number Information
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NPI Number | 1427877026
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Entity Type | Organization
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Legal Business Name | UTTER SUCCESS LLC
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Dates
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Enumeration Date | 10/09/2024
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Last Update Date | 10/09/2024
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Provider Practice Location Address
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Address Line | 238 BALD EAGLE DR
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City | RICHMOND HILL
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State | GA
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Zip | 31324-3417
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Country | US
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Telephone | 850-206-3740
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Fax |
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Provider Business Mailing Address
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Address Line | 3801 US HWY 17 STE 500 PMB 1041
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City | RICHMOND HILL
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State | GA
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Zip | 31324
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | HEATHER ISMAY
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Credential | MS, CCC-SLP
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Telephone | 850-206-3740
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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 |
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License Number State |
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