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General NPI Number Information
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NPI Number | 1497389530
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Entity Type | Individual
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Provider Name | ANNE REED RICKMAN M.ED., CCC-SLP
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Gender | Female
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Dates
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Enumeration Date | 02/27/2020
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Last Update Date | 02/27/2020
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Provider Practice Location Address
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Address Line | 165 RIDGECREST CIR
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City | CLAYTON
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State | GA
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Zip | 30525-4196
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Country | US
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Telephone | 706-782-6330
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Fax |
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Provider Business Mailing Address
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Address Line | 165 RIDGECREST CIR
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City | CLAYTON
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State | GA
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Zip | 30525-4196
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Country | US
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Telephone | 706-782-6330
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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 | SLP001074
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License Number State | GA
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