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General NPI Number Information
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NPI Number | 1437938446
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Entity Type | Organization
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Legal Business Name | THE WOVEN VILLAGE, LLC
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Dates
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Enumeration Date | 09/28/2023
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Last Update Date | 09/28/2023
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Provider Practice Location Address
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Address Line | 2807 JACKSON ST
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City | OPELIKA
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State | AL
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Zip | 36804-7827
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Country | US
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Telephone | 334-246-1692
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Fax | 334-746-7680
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Provider Business Mailing Address
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Address Line | 2807 JACKSON ST
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City | OPELIKA
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State | AL
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Zip | 36804-7827
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Country | US
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Telephone | 334-246-1692
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Fax | 334-746-7680
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Authorized Official
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Title or Position | OWNER
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Name | ASHLEY JANG
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Credential | MS, CCC-SLP, CLC
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Telephone | 334-246-1692
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0700X
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Taxonomy Name | Hearing and Speech Clinic/Center
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License Number |
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License Number State |
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