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General NPI Number Information
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NPI Number | 1659865335
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Entity Type | Organization
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Legal Business Name | FAULKNER UNIVERSITY
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Dates
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Enumeration Date | 06/18/2018
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Last Update Date | 06/18/2018
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Provider Practice Location Address
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Address Line | 4780 WOODMERE BLVD
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City | MONTGOMERY
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State | AL
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Zip | 36106-3065
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Country | US
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Telephone | 334-386-7351
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Fax | 334-386-7354
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Provider Business Mailing Address
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Address Line | 5345 ATLANTA HWY
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City | MONTGOMERY
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State | AL
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Zip | 36109-3390
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Country | US
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Telephone | 334-386-7331
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Fax |
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Authorized Official
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Title or Position | CLINIC DIRECTOR
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Name | AMY CATHERINE OGBURN
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Credential | PH.D., CCC-SLP
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Telephone | 334-386-7331
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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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