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General NPI Number Information
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NPI Number | 1659501807
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Entity Type | Organization
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Legal Business Name | BONNIE E. SMITH, PHD, LLC
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Dates
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Enumeration Date | 07/22/2009
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Last Update Date | 03/10/2025
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Provider Practice Location Address
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Address Line | 143 CITADEL DR
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City | AIKEN
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State | SC
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Zip | 29803-6647
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Country | US
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Telephone | 941-769-1026
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Fax | 803-845-5438
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Provider Business Mailing Address
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Address Line | 143 CITADEL DR
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City | AIKEN
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State | SC
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Zip | 29803-6647
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Country | US
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Telephone | 941-769-1026
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Fax | 803-845-5438
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Authorized Official
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Title or Position | SOLE MEMBER/MANAGING MEMBER
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Name | DR. BONNIE E. SMITH
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Credential | PHD
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Telephone | 941-769-1026
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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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Taxonomy #2
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | SA 9201
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License Number State | FL
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