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General NPI Number Information
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NPI Number | 1558170506
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Entity Type | Organization
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Legal Business Name | SPECTRUM ALLIES. INC
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Dates
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Enumeration Date | 01/04/2025
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Last Update Date | 01/04/2025
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Provider Practice Location Address
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Address Line | 800 PELHAM RD STE 201
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City | GREENVILLE
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State | SC
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Zip | 29615-3300
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Country | US
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Telephone | 864-203-8589
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Fax |
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Provider Business Mailing Address
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Address Line | 800 PELHAM RD STE 201
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City | GREENVILLE
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State | SC
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Zip | 29615-3300
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Country | US
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Telephone | 864-203-8589
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Fax |
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Authorized Official
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Title or Position | CEO/OWNER
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Name | DEBRA A JONES
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Credential |
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Telephone | 407-256-6409
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 224Z00000X
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Taxonomy Name | Occupational Therapy Assistant
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 2355S0801X
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Taxonomy Name | Speech-Language Assistant
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State |
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