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General NPI Number Information
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NPI Number | 1548805831
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Entity Type | Organization
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Legal Business Name | PRIME SPEECH SOLUTIONS, LLC
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Dates
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Enumeration Date | 11/11/2019
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Last Update Date | 04/19/2020
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Provider Practice Location Address
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Address Line | 290 MCLEAN PL
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City | HILLSIDE
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State | NJ
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Zip | 07205-1711
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Country | US
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Telephone | 908-899-3399
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Fax |
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Provider Business Mailing Address
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Address Line | 290 MCLEAN PL
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City | HILLSIDE
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State | NJ
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Zip | 07205-1711
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Country | US
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Telephone | 908-899-3399
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Fax |
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Authorized Official
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Title or Position | SPEECH PATHOLOGIST/ CEO, OWNER
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Name | EBONY TURNER-BAILEY
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Credential | M.S. CCC-SLP
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Telephone | 908-899-3399
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0700X
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Taxonomy Name | Hearing and Speech Clinic/Center
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License Number |
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License Number State |
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