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General NPI Number Information
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NPI Number | 1568998441
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Entity Type | Organization
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Legal Business Name | BERKELEY COUNTY SCHOOL DISTRICT
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Dates
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Enumeration Date | 05/11/2017
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Last Update Date | 05/11/2017
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Provider Practice Location Address
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Address Line | 1460 ROYLE RD
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City | SUMMERVILLE
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State | SC
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Zip | 29486-1753
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Country | US
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Telephone | 843-820-3868
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Fax |
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Provider Business Mailing Address
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Address Line | 1460 ROYLE RD
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City | SUMMERVILLE
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State | SC
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Zip | 29486-1753
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Country | US
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Telephone | 843-820-3868
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Fax |
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Authorized Official
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Title or Position | RELATED SERVICES COORDINATOR
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Name | TERRI HOVER
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Credential |
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Telephone | 843-899-9950
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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 | 1037
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License Number State | SC
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