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General NPI Number Information
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NPI Number | 1508646670
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Entity Type | Organization
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Legal Business Name | SPEECHEQUIP THERAPY SERVICES, PLLC
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Dates
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Enumeration Date | 10/04/2023
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Last Update Date | 10/04/2023
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Provider Practice Location Address
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Address Line | 525 GILES DR
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City | CHESAPEAKE
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State | VA
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Zip | 23322-3849
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Country | US
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Telephone | 757-276-9711
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Fax |
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Provider Business Mailing Address
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Address Line | 237 HANBURY RD E STE 17
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City | CHESAPEAKE
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State | VA
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Zip | 23322-6622
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Country | US
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Telephone | 757-276-9711
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Fax |
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Authorized Official
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Title or Position | FOUNDER/CEO
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Name | MRS. WENDY CHILDRESS
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Credential | M.S., CCC-SLP
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Telephone | 757-754-4880
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0700X
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Taxonomy Name | Hearing and Speech Clinic/Center
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License Number |
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License Number State |
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