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General NPI Number Information
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NPI Number | 1649646365
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Entity Type | Organization
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Legal Business Name | SPEECHNOW
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Dates
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Enumeration Date | 08/17/2015
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Last Update Date | 08/17/2015
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Provider Practice Location Address
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Address Line | 313 BLUEBEECH LN
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City | GREENVILLE
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State | NC
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Zip | 27834-0526
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Country | US
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Telephone | 910-547-3782
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Fax |
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Provider Business Mailing Address
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Address Line | 313 BLUEBEECH LN
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City | GREENVILLE
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State | NC
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Zip | 27834-0526
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Country | US
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Telephone | 910-547-3782
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Fax |
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Authorized Official
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Title or Position | SPEECH PATHOLOGIST
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Name | KELLY PETERSON JAMES
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Credential | MA, CCC-SLP
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Telephone | 910-547-3782
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA3000X
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Taxonomy Name | Augmentative Communication Clinic/Center
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License Number | 5291
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License Number State | NC
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