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General NPI Number Information
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NPI Number | 1598492811
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Entity Type | Organization
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Legal Business Name | SPEECH AND ME
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Dates
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Enumeration Date | 08/05/2022
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Last Update Date | 10/26/2022
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Provider Practice Location Address
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Address Line | 1254 HARLEYFORD RD
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City | WOODRIDGE
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State | IL
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Zip | 60517-7529
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Country | US
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Telephone | 818-424-9310
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Fax |
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Provider Business Mailing Address
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Address Line | 1254 HARLEYFORD RD
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City | WOODRIDGE
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State | IL
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Zip | 60517-7529
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Country | US
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Telephone | 818-424-9310
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Fax |
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Authorized Official
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Title or Position | PREDENT
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Name | SANTINA YACOUB
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Credential |
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Telephone | 818-424-9310
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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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 | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number |
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License Number State |
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