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General NPI Number Information
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NPI Number | 1639368830
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Entity Type | Organization
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Legal Business Name | CLEARLY SPEAKING SPEECH PATHOLOGY SERVICES
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Dates
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Enumeration Date | 10/24/2007
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Last Update Date | 03/07/2011
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Provider Practice Location Address
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Address Line | 2900 TAZEWELL PIKE STE. G
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City | KNOXVILLE
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State | TN
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Zip | 37918-1880
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Country | US
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Telephone | 865-686-0082
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Fax | 865-686-0174
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Provider Business Mailing Address
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Address Line | 2900 TAZEWELL PIKE STE. G
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City | KNOXVILLE
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State | TN
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Zip | 37918-1880
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Country | US
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Telephone | 865-686-0082
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Fax | 865-686-0174
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Authorized Official
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Title or Position | DIRECTOR/OWNER
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Name | MRS. JEAN LOUISE BRANDON
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Credential | MA, CCC-SLP
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Telephone | 865-686-0082
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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 |
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License Number State |
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