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General NPI Number Information
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NPI Number | 1558628750
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Entity Type | Organization
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Legal Business Name | SOUND FOUNDATION, LLC
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Dates
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Enumeration Date | 04/12/2012
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Last Update Date | 10/08/2012
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Provider Practice Location Address
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Address Line | 100 BRAMBLE RD
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City | ELGIN
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State | SC
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Zip | 29045-8669
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Country | US
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Telephone | 803-530-7917
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Fax | 888-581-6128
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Provider Business Mailing Address
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Address Line | PO BOX 412
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City | ELGIN
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State | SC
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Zip | 29045-0412
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Country | US
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Telephone | 803-530-7917
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Fax | 888-581-6128
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Authorized Official
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Title or Position | SPEECH LANGUAGE PATHOLOGIST
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Name | RACHEL RAPER
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Credential | MSP CCC-SLP
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Telephone | 803-530-7917
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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 | 4162
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License Number State | SC
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