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General NPI Number Information
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NPI Number | 1508789181
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Entity Type | Organization
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Legal Business Name | SOUL THERAPY SPEECH AND LANGUAGE SOLUTIONS LLC
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Dates
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Enumeration Date | 07/31/2026
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Last Update Date | 07/31/2026
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Provider Practice Location Address
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Address Line | 9673 GRAND TETON AVE
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City | BATON ROUGE
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State | LA
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Zip | 70814-4014
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Country | US
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Telephone | 225-456-4616
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Fax |
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Provider Business Mailing Address
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Address Line | 2320 DRUSILLA LN
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City | BATON ROUGE
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State | LA
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Zip | 70809-1495
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | SLP
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Name | MS. CHIANTAY O'CONNER
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Credential | SLP
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Telephone | 225-456-4616
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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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