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General NPI Number Information
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NPI Number | 1548806086
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Entity Type | Organization
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Legal Business Name | BRIGHTER PATHWAYS SPEECH AND SWALLOWING SERVICES
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Dates
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Enumeration Date | 11/19/2019
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Last Update Date | 10/04/2024
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Provider Practice Location Address
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Address Line | 418 RAILROAD ST STE 102
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City | DANVILLE
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State | PA
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Zip | 17821-1547
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Country | US
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Telephone | 570-979-1199
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Fax | 800-592-9749
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Provider Business Mailing Address
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Address Line | 84 TRUMP RD
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City | DANVILLE
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State | PA
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Zip | 17821-9375
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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 | HAZLEY YEAGER
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Credential | M.S., CCC-SLP
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Telephone | 570-979-1199
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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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