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General NPI Number Information
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NPI Number | 1629502190
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Entity Type | Organization
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Legal Business Name | COMMUNICATE AT HOME
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Dates
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Enumeration Date | 04/12/2017
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Last Update Date | 04/12/2017
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Provider Practice Location Address
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Address Line | 6766 GERMANTOWN AVE
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City | PHILADELPHIA
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State | PA
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Zip | 19119-2110
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Country | US
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Telephone | 716-445-0086
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Fax |
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Provider Business Mailing Address
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Address Line | 6766 GERMANTOWN AVE
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City | PHILADELPHIA
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State | PA
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Zip | 19119-2110
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Country | US
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Telephone | 716-445-0086
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Fax |
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Authorized Official
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Title or Position | OWNER/SLP
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Name | SAMANTHA AITKEN
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Credential | CCC-SLP
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Telephone | 716-445-0086
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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 | SL013041
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License Number State | PA
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