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General NPI Number Information
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NPI Number | 1649890377
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Entity Type | Organization
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Legal Business Name | WATERMAN SPEECH-LANGUAGE PATHOLOGY, PLLC
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Dates
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Enumeration Date | 04/22/2020
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Last Update Date | 05/26/2020
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Provider Practice Location Address
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Address Line | 4731 TROUSDALE DR STE 13A
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City | NASHVILLE
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State | TN
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Zip | 37220-1331
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Country | US
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Telephone | 615-484-2486
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Fax | 615-678-4368
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Provider Business Mailing Address
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Address Line | 4731 TROUSDALE DR STE 13A
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City | NASHVILLE
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State | TN
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Zip | 37220-1331
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Country | US
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Telephone | 615-484-2486
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Fax | 615-678-4368
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Authorized Official
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Title or Position | SPEECH-LANGUAGE PATHOLOGIST
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Name | MRS. DIANE TERRANOVA WATERMAN
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Credential | SLP, M.S., CCC
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Telephone | 615-482-3253
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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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