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General NPI Number Information
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NPI Number | 1659222503
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Entity Type | Organization
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Legal Business Name | THE UPSTATE SPEECH STUDIO
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Dates
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Enumeration Date | 02/06/2026
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Last Update Date | 02/06/2026
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Provider Practice Location Address
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Address Line | 81 POINTE CIR STE A
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City | GREENVILLE
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State | SC
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Zip | 29615-3505
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Country | US
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Telephone | 864-326-5408
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Fax |
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Provider Business Mailing Address
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Address Line | 155 SANTA ANA WAY
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City | DUNCAN
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State | SC
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Zip | 29334-8103
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Country | US
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Telephone | 631-495-6084
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Fax |
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Authorized Official
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Title or Position | OWNER, SPEECH/LANGUAGE PATHOLOGIST
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Name | GABRIELLE EBERLE
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Credential | CCC-SLP
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Telephone | 631-495-6084
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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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