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General NPI Number Information
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NPI Number | 1437246873
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Entity Type | Organization
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Legal Business Name | DOUTHITT SIZEMORE SPEEC LANGUAGE SERVICES
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Dates
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Enumeration Date | 10/06/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 697 SNOWDEN BRANCH
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City | JACKSON
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State | KY
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Zip | 41339
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Country | US
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Telephone | 606-666-4371
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Fax |
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Provider Business Mailing Address
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Address Line | 697 SNOWDEN BRANCH
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City | JACKSON
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State | KY
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Zip | 41339
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Country | US
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Telephone | 606-666-4371
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Fax |
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | MR. FRANK WAYNE SIZEMORE
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Credential | MS CCCSLP
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Telephone | 606-666-4371
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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 | KY2395
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License Number State | KY
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