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General NPI Number Information
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NPI Number | 1437975836
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Entity Type | Organization
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Legal Business Name | ROSIE STANLEY LLC
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Dates
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Enumeration Date | 12/02/2024
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Last Update Date | 12/02/2024
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Provider Practice Location Address
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Address Line | 125 N MAIN ST STE 21
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City | MADISON
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State | VA
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Zip | 22727-3035
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Country | US
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Telephone | 720-965-8051
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 132
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City | MADISON
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State | VA
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Zip | 22727-0132
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Country | US
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Telephone | 720-965-8051
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Fax |
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Authorized Official
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Title or Position | OWNER/SLP
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Name | MRS. ROSIE STANLEY
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Credential | MS, CCC-SLP
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Telephone | 720-965-8051
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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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