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General NPI Number Information
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NPI Number | 1538511233
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Entity Type | Organization
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Legal Business Name | ALLGOOD SPEECH THERAPY
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Dates
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Enumeration Date | 07/06/2016
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Last Update Date | 07/06/2016
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Provider Practice Location Address
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Address Line | 141 PARK RD
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City | PADUCAH
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State | KY
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Zip | 42003-0960
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Country | US
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Telephone | 270-564-0217
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Fax | 270-709-3060
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Provider Business Mailing Address
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Address Line | 141 PARK RD
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City | PADUCAH
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State | KY
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Zip | 42003-0960
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Country | US
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Telephone | 270-564-0217
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Fax | 270-709-3060
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Authorized Official
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Title or Position | SPEECH-LANGUAGE PATHOLOGIST
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Name | MRS. LAMIA LYNN ALLGOOD
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Credential | M.ED., CCC-SLP
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Telephone | 270-564-0217
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 3035
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License Number State | KY
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