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General NPI Number Information
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NPI Number | 1598682049
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Entity Type | Organization
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Legal Business Name | COASTAL SPEECH-LANGUAGE PATHOLOGY, LLC
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Dates
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Enumeration Date | 07/03/2026
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Last Update Date | 07/03/2026
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Provider Practice Location Address
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Address Line | 223 JAMES RIVER DR
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City | NEWPORT NEWS
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State | VA
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Zip | 23601-3617
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Country | US
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Telephone | 757-751-8346
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Fax |
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Provider Business Mailing Address
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Address Line | 223 JAMES RIVER DR
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City | NEWPORT NEWS
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State | VA
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Zip | 23601-3617
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Country | US
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Telephone | 757-751-8346
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ANNA KRISTEN CHENOWETH
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Credential | MS, CCC-SLP
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Telephone | 757-751-8346
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0400X
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Taxonomy Name | Rehabilitation Clinic/Center
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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 | 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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