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NPI 1598808206

NPI 1598808206 : THE DELAWARE SPEECH AND HEARING CENTER : DELAWARE, OH

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General NPI Number Information
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    NPI Number           |    1598808206
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    Entity Type          |    Organization 
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    Legal Business Name  |    THE DELAWARE SPEECH AND HEARING CENTER 
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Dates
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    Enumeration Date     |    02/14/2007
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    Last Update Date     |    07/05/2022
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Provider Practice Location Address
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    Address Line         |    494 W CENTRAL AVE 
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    City                 |    DELAWARE
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    State                |    OH
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    Zip                  |    43015-1470
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    Country              |    US
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    Telephone            |    740-369-3650
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    Fax                  |    740-369-0812
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Provider Business Mailing Address
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    Address Line         |    494 W CENTRAL AVE 
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    City                 |    DELAWARE
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    State                |    OH
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    Zip                  |    43015-1470
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    Country              |    US
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    Telephone            |    740-369-3650
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    Fax                  |    740-369-0812
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Authorized Official
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    Title or Position    |    EXECUTIVE DIRECTOR
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    Name                 |     BETHANY  MOORE 
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    Credential           |    
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    Telephone            |    740-369-3650
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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       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    231H00000X
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    Taxonomy Name        |    Audiologist
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    License Number       |    
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    License Number State |    
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