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General NPI Number Information
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NPI Number | 1528746435
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Entity Type | Organization
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Legal Business Name | BEST SIDE SPEECH LLC
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Dates
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Enumeration Date | 07/10/2023
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Last Update Date | 04/28/2025
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Provider Practice Location Address
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Address Line | 5703 FURLONG CT NE
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City | BELMONT
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State | MI
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Zip | 49306-8899
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Country | US
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Telephone | 616-965-6807
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Fax | 844-640-0704
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Provider Business Mailing Address
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Address Line | 5703 FURLONG CT NE
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City | BELMONT
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State | MI
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Zip | 49306-8899
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Country | US
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Telephone | 616-965-6807
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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 | LUKE SHEPHERD
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Credential | M.A., CCC-SLP
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Telephone | 248-767-9913
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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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