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General NPI Number Information
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NPI Number | 1679249544
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Entity Type | Organization
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Legal Business Name | ON TRACK SPEECH THERAPY LLC
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Dates
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Enumeration Date | 08/19/2021
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Last Update Date | 01/09/2026
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Provider Practice Location Address
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Address Line | 52 N CHESTNUT ST # UP
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City | JEFFERSON
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State | OH
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Zip | 44047-1140
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Country | US
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Telephone | 440-721-8895
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 84
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City | JEFFERSON
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State | OH
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Zip | 44047-0084
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Country | US
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Telephone | 440-721-8895
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Fax |
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Authorized Official
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Title or Position | SPEECH LANGUAGE PATHOLOGIST
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Name | ERIN DRENIK
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Credential |
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Telephone | 440-789-9021
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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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