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General NPI Number Information
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NPI Number | 1609739390
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Entity Type | Organization
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Legal Business Name | TALK TREE SPEECH THERAPY LLC
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Dates
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Enumeration Date | 12/08/2025
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Last Update Date | 12/08/2025
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Provider Practice Location Address
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Address Line | 5077 DALLAS HWY STE 105
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City | POWDER SPRINGS
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State | GA
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Zip | 30127-4510
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Country | US
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Telephone | 862-395-5247
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Fax | 862-395-5247
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Provider Business Mailing Address
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Address Line | 5077 DALLAS HWY STE 105
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City | POWDER SPRINGS
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State | GA
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Zip | 30127-4510
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Country | US
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Telephone | 862-395-5247
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Fax | 862-395-5247
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Authorized Official
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Title or Position | OWNER
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Name | LORETHA WILSON
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Credential |
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Telephone | 862-395-5247
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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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