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General NPI Number Information
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NPI Number | 1437358256
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Entity Type | Organization
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Legal Business Name | WEE SPEAK PC
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Dates
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Enumeration Date | 07/12/2007
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Last Update Date | 07/12/2007
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Provider Practice Location Address
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Address Line | 4543 CORMORANT DR
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City | LAFAYETTE
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State | IN
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Zip | 47909-8204
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Country | US
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Telephone | 765-532-7420
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Fax | 765-477-9190
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Provider Business Mailing Address
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Address Line | 4543 CORMORANT DR
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City | LAFAYETTE
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State | IN
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Zip | 47909-8204
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Country | US
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Telephone | 765-532-7420
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Fax | 765-477-9190
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Authorized Official
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Title or Position | PRESIDENT
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Name | PENI JEAN SATTERFIELD
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Credential | MS CCC SLP L
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Telephone | 765-532-7420
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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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