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General NPI Number Information
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NPI Number | 1659083202
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Entity Type | Organization
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Legal Business Name | GREATER ATLANTA SPEECH AND SWALLOW SERVICES
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Dates
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Enumeration Date | 12/14/2022
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Last Update Date | 12/14/2022
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Provider Practice Location Address
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Address Line | 15 PERRY ST STE 399
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City | NEWNAN
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State | GA
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Zip | 30263-1918
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Country | US
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Telephone | 470-668-0229
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Fax | 470-668-0229
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Provider Business Mailing Address
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Address Line | 300 ASHLEY PARK BLVD APT 2011
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City | NEWNAN
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State | GA
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Zip | 30263-6419
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Country | US
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Telephone | 470-668-0229
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Fax | 470-668-0229
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Authorized Official
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Title or Position | OWNER/DIRECTOR
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Name | ARISA STEWART-NGARUIYA
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Credential | M. ED. CCC-SLP
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Telephone | 470-668-0229
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0700X
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Taxonomy Name | Hearing and Speech Clinic/Center
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License Number |
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License Number State |
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