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General NPI Number Information
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NPI Number | 1598441206
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Entity Type | Organization
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Legal Business Name | SIMMONS SPEECH THERAPY LLC
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Dates
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Enumeration Date | 06/26/2023
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Last Update Date | 06/26/2023
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Provider Practice Location Address
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Address Line | 3261 OLD WASHINGTON RD
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City | WALDORF
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State | MD
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Zip | 20602-3223
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Country | US
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Telephone | 540-533-3201
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Fax |
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Provider Business Mailing Address
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Address Line | 11182 SOUTHPORT PL
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City | WHITE PLAINS
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State | MD
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Zip | 20695-4145
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Country | US
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Telephone | 540-533-3201
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Fax |
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Authorized Official
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Title or Position | OWNER/MEMBER
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Name | MRS. BRANDI LEIGH SIMMONS
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Credential | MS CCC-SLP
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Telephone | 540-533-3201
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0700X
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Taxonomy Name | Hearing and Speech Clinic/Center
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License Number |
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License Number State |
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