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General NPI Number Information
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NPI Number | 1619594678
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Entity Type | Organization
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Legal Business Name | WOOD SLP SERVICES, INC.
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Dates
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Enumeration Date | 06/25/2020
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Last Update Date | 06/25/2020
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Provider Practice Location Address
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Address Line | 270 CONIFER WAY
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City | SHELBY
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State | NC
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Zip | 28150-7302
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Country | US
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Telephone | 828-506-5701
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Fax | 980-701-0008
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Provider Business Mailing Address
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Address Line | 270 CONIFER WAY
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City | SHELBY
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State | NC
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Zip | 28150-7302
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Country | US
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Telephone | 828-506-5701
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Fax | 980-701-0008
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Authorized Official
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Title or Position | PRESIDENT
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Name | SHANA WOOD PRICE
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Credential | MS, CCC-SLP
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Telephone | 828-506-5701
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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