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General NPI Number Information
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NPI Number | 1518311067
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Entity Type | Organization
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Legal Business Name | PRESTIGE SPEECH, LLC
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Dates
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Enumeration Date | 04/21/2016
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Last Update Date | 11/23/2020
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Provider Practice Location Address
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Address Line | 166 BAY SPRING AVE
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City | BARRINGTON
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State | RI
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Zip | 02806-1393
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Country | US
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Telephone | 401-372-7014
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Fax |
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Provider Business Mailing Address
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Address Line | 166 BAY SPRING AVE
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City | BARRINGTON
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State | RI
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Zip | 02806-1393
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Country | US
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Telephone | 401-359-4898
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Fax | 401-336-2442
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Authorized Official
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Title or Position | SPEECH LANGUAGE PATHOLOGIST
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Name | COURTNEY LANGELLO
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Credential | MS, CCC-SLP
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Telephone | 401-359-4898
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 225XP0200X
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Taxonomy Name | Pediatric Occupational Therapist
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number |
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License Number State |
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Taxonomy #8
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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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