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General NPI Number Information
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NPI Number | 1548776230
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Entity Type | Organization
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Legal Business Name | ABLE TOO THERAPY SERVICES INC
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Dates
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Enumeration Date | 12/18/2017
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Last Update Date | 06/11/2019
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Provider Practice Location Address
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Address Line | 1663 SWEET BRANCH TRL
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City | GRAYSON
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State | GA
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Zip | 30017-4127
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Country | US
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Telephone | 770-330-7904
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Fax |
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Provider Business Mailing Address
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Address Line | 1663 SWEET BRANCH TRL
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City | GRAYSON
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State | GA
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Zip | 30017-4127
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Country | US
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Telephone | 770-330-7904
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | RENEE WHITE
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Credential | CCC-SLP
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Telephone | 770-330-7904
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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 | SLP003773
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License Number State | GA
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