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General NPI Number Information
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NPI Number | 1437961927
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Entity Type | Organization
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Legal Business Name | ELITE SPEECH COLUMBUS, LLC
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Dates
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Enumeration Date | 01/22/2025
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Last Update Date | 09/03/2025
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Provider Practice Location Address
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Address Line | 4468 BIG WALNUTVIEW DR
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City | COLUMBUS
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State | OH
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Zip | 43230-4144
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Country | US
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Telephone | 740-590-4961
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Fax |
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Provider Business Mailing Address
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Address Line | 4468 BIG WALNUTVIEW DR
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City | COLUMBUS
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State | OH
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Zip | 43230-4144
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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 | SPEECH-LANGUAGE PATHOLOGIST
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Name | ALEXIS NEWLUN
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Credential | M.A. SLP
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Telephone | 123-456-7890
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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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