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General NPI Number Information
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NPI Number | 1619312782
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Entity Type | Organization
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Legal Business Name | CLEAR SPEECH NOW
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Dates
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Enumeration Date | 05/02/2013
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Last Update Date | 05/02/2013
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Provider Practice Location Address
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Address Line | 716 DENBIGH BLVD BLDG B SUITE B.
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City | NEWPORT NEWS
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State | VA
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Zip | 23608-4414
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Country | US
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Telephone | 757-871-9790
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Fax | 757-898-3078
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Provider Business Mailing Address
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Address Line | PO BOX 6204
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City | NEWPORT NEWS
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State | VA
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Zip | 23606-0204
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Country | US
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Telephone | 757-871-9790
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Fax | 757-898-3078
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | BETTY R. WALTON
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Credential |
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Telephone | 757-871-9790
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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 | 2202001260
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License Number State | VA
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