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General NPI Number Information
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NPI Number | 1447691993
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Entity Type | Organization
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Legal Business Name | NORTH PAULDING SPEECH LANGUAGE THERAPY LLC
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Dates
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Enumeration Date | 07/12/2013
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Last Update Date | 04/22/2025
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Provider Practice Location Address
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Address Line | 283 RED HAWK WAY
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City | DALLAS
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State | GA
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Zip | 30132-1149
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Country | US
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Telephone | 561-801-3148
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Fax | 678-401-6655
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Provider Business Mailing Address
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Address Line | 283 RED HAWK WAY
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City | DALLAS
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State | GA
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Zip | 30132-1149
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Country | US
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Telephone | 561-801-3148
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Fax | 678-401-6655
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Authorized Official
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Title or Position | OWNER, SPEECH LANGUAGE PATHOLOGIST
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Name | MRS. LAURA LEIGH KNOTT-RIGGALL
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Credential | M.A., CCC-SLP
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Telephone | 561-801-3148
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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 | SLP007396
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License Number State | GA
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