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General NPI Number Information
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NPI Number | 1598920696
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Entity Type | Organization
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Legal Business Name | SPEECH-LANGUAGE PATHWAYS THERAPY SERVICES, LLC
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Dates
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Enumeration Date | 07/28/2008
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Last Update Date | 07/28/2008
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Provider Practice Location Address
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Address Line | 708 FAIRWAY LN
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City | COLUMBIA
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State | SC
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Zip | 29210-5715
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Country | US
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Telephone | 803-603-2252
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Fax | 803-798-2892
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Provider Business Mailing Address
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Address Line | 708 FAIRWAY LN
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City | COLUMBIA
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State | SC
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Zip | 29210-5715
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Country | US
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Telephone | 803-603-2252
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Fax | 803-798-2892
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Authorized Official
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Title or Position | SPEECH-LANGUAGE PATHOLOGIST
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Name | MRS. LORETTA JONES BRUNSON
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Credential | M.A. CCC-SLP
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Telephone | 803-603-2252
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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 | 3441
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License Number State | SC
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