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General NPI Number Information
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NPI Number | 1497999379
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Entity Type | Organization
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Legal Business Name | DYNAMIC SPEECH SERVICES LLC
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Dates
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Enumeration Date | 04/23/2009
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Last Update Date | 04/23/2009
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Provider Practice Location Address
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Address Line | 702 CUTTER COURT
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City | KURE BEACH
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State | NC
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Zip | 28449-4913
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Country | US
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Telephone | 910-409-6167
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Fax |
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Provider Business Mailing Address
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Address Line | 702 CUTTER COURT
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City | KURE BEACH
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State | NC
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Zip | 28449-4913
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Country | US
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Telephone | 910-409-6167
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Fax |
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Authorized Official
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Title or Position | SPEECH-LANGUAGE PATHOLOGIST
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Name | JULIE D. FAMIGLIETTI
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Credential | CCC-SLP
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Telephone | 910-409-6167
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 8331
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License Number State | NC
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