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General NPI Number Information
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NPI Number | 1467780619
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Entity Type | Organization
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Legal Business Name | AFFILIATES OF SPEECH THERAPY, P.C.
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Dates
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Enumeration Date | 11/30/2009
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Last Update Date | 11/30/2009
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Provider Practice Location Address
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Address Line | 5900 COTTONWOOD DR
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City | YPSILANTI
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State | MI
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Zip | 48197-8203
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Country | US
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Telephone | 734-829-7188
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Fax | 734-337-3340
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Provider Business Mailing Address
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Address Line | 5900 COTTONWOOD DR
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City | YPSILANTI
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State | MI
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Zip | 48197-8203
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Country | US
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Telephone | 734-829-7188
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Fax | 734-337-3340
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. ABID A. BASHIR
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Credential | S.L.P.
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Telephone | 734-829-7188
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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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