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General NPI Number Information
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NPI Number | 1598497802
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Entity Type | Organization
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Legal Business Name | ARCHWAY THERAPY LLC
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Dates
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Enumeration Date | 06/27/2022
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Last Update Date | 06/27/2022
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Provider Practice Location Address
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Address Line | 40 GROGAN DR STE 110
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City | DAWSONVILLE
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State | GA
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Zip | 30534-1004
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Country | US
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Telephone | 770-715-6562
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Fax |
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Provider Business Mailing Address
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Address Line | 281 COLLINS RD
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City | DAWSONVILLE
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State | GA
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Zip | 30534-4412
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Country | US
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Telephone | 770-715-6562
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | HAYLEY CRAWFORD
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Credential | CCC-SLP
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Telephone | 770-715-6562
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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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 | 225X00000X
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Taxonomy Name | Occupational Therapist
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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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