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General NPI Number Information
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NPI Number | 1639225535
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Entity Type | Organization
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Legal Business Name | JOYFUL NOISE SPEECH AND LANGUAGE THERAPY SERVICES, INC
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Dates
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Enumeration Date | 01/25/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2797 STONEWALL LN SW
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City | ATLANTA
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State | GA
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Zip | 30331-8190
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Country | US
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Telephone | 678-570-5778
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Fax | 404-349-0216
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Provider Business Mailing Address
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Address Line | 2797 STONEWALL LN SW
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City | ATLANTA
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State | GA
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Zip | 30331-8190
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Country | US
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Telephone | 678-570-5778
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Fax | 404-349-0216
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Authorized Official
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Title or Position | DIRECTOR
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Name | MRS. JOYA MARTINE WILKINSON
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Credential | CCC-SLP
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Telephone | 678-570-5778
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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 | SLP004530
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License Number State | GA
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