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General NPI Number Information
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NPI Number | 1548126022
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Entity Type | Organization
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Legal Business Name | THE CROOM LEGACY CENTER, LLC
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Dates
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Enumeration Date | 12/29/2025
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Last Update Date | 12/29/2025
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Provider Practice Location Address
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Address Line | 1350 SCENIC HWY N STE 266
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City | SNELLVILLE
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State | GA
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Zip | 30078-7924
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Country | US
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Telephone | 678-808-4002
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Fax |
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Provider Business Mailing Address
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Address Line | 2725 HAMILTON MILL RD STE 500 PMB 265
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City | BUFORD
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State | GA
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Zip | 30519-6010
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Country | US
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Telephone |
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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 | MISS NATALIA CROOM
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Credential | M.A., CCC-SLP
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Telephone | 757-610-6943
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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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