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General NPI Number Information
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NPI Number | 1457785396
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Entity Type | Individual
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Provider Name | MATTHEW MEREDITH M.A., M.S.
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Gender | Male
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Dates
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Enumeration Date | 08/28/2013
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Last Update Date | 09/09/2024
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Provider Practice Location Address
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Address Line | 54 BATTLEFIELD CANOPY CIR
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City | RINGGOLD
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State | GA
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Zip | 30736-5052
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Country | US
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Telephone | 706-445-3655
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Fax |
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Provider Business Mailing Address
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Address Line | 512 COTTONTAIL HOLW
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City | FLINTSTONE
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State | GA
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Zip | 30725-2781
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Country | US
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Telephone | 423-838-8828
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 4942
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 8474
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License Number State | GA
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