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General NPI Number Information
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NPI Number | 1538487152
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Entity Type | Organization
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Legal Business Name | IT STARTS HERE, INC.
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Dates
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Enumeration Date | 05/06/2010
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Last Update Date | 05/14/2010
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Provider Practice Location Address
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Address Line | 3645 MARKETPLACE BLVD. SUITE 130-184
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City | EAST POINT
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State | GA
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Zip | 30344-5747
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Country | US
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Telephone | 770-892-4878
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Fax | 770-892-4958
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Provider Business Mailing Address
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Address Line | 3645 MARKETPLACE BLVD. SUITE 130-184
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City | EAST POINT
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State | GA
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Zip | 30344-5747
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Country | US
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Telephone | 770-892-4878
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Fax | 770-892-4958
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Authorized Official
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Title or Position | OWNER, SPEECH THERAPIST
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Name | MRS. JAMEELA FERGUSON
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Credential | CCC-SLP
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Telephone | 404-245-4848
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number | SLP005380
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License Number State | GA
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