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General NPI Number Information
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NPI Number | 1619118726
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Entity Type | Organization
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Legal Business Name | CAROLINA SPEECH CENTER, INC
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Dates
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Enumeration Date | 03/19/2009
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Last Update Date | 07/08/2010
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Provider Practice Location Address
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Address Line | 4255 K DUDLEYS GRANT DRIVE
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City | WINTERVILLE
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State | NC
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Zip | 28590-7978
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Country | US
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Telephone | 252-917-2330
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Fax | 252-321-2113
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Provider Business Mailing Address
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Address Line | PO BOX 2750
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City | GREENVILLE
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State | NC
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Zip | 27836-0750
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Country | US
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Telephone | 252-917-2330
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Fax | 252-321-2113
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. ALLYSON MICHELLE HILL
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Credential | MS, CCC-SLP
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Telephone | 252-917-2330
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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 | 6365
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License Number State | NC
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