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General NPI Number Information
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NPI Number | 1558409706
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Entity Type | Organization
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Legal Business Name | PEDIATRIC SPEECH & LANGUAGE SERVICES INC
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Dates
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Enumeration Date | 02/01/2007
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Last Update Date | 04/24/2017
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Provider Practice Location Address
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Address Line | 3201 W MARKET ST
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City | GREENSBORO
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State | NC
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Zip | 27403-1455
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Country | US
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Telephone | 336-541-8167
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Fax | 336-663-0266
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Provider Business Mailing Address
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Address Line | PO BOX 9804
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City | GREENSBORO
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State | NC
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Zip | 27429-0804
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Country | US
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Telephone | 336-541-8167
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Fax | 336-663-0266
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Authorized Official
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Title or Position | OWNER/THERAPIST
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Name | MS. KAREN JACKSON PARRISH
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Credential | M.ED, CCC/SLP LSLS C
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Telephone | 336-294-8091
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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 | NC
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Taxonomy #2
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Taxonomy Code | 222Q00000X
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Taxonomy Name | Developmental Therapist
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License Number |
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License Number State | NC
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Taxonomy #3
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Taxonomy Code | 252Y00000X
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Taxonomy Name | Early Intervention Provider Agency
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License Number |
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License Number State | NC
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Taxonomy #4
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 1174
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License Number State | NC
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