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General NPI Number Information
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NPI Number | 1538893557
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Entity Type | Organization
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Legal Business Name | INSPIRE SPEECH AND LANGUAGE, LLC
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Dates
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Enumeration Date | 07/14/2022
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Last Update Date | 07/14/2022
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Provider Practice Location Address
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Address Line | 880 WILLIAM BLVD. 0505
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City | RIDGELAND
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State | MS
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Zip | 39157
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Country | US
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Telephone | 337-258-1584
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Fax |
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Provider Business Mailing Address
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Address Line | 105 POLLY LN
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City | LAFAYETTE
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State | LA
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Zip | 70508-4925
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Country | US
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Telephone | 832-206-6722
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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 | MS. SCHERESIA R RUSSELL
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Credential | M.ED., CCC-SLP
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Telephone | 832-206-6722
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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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