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General NPI Number Information
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NPI Number | 1689375008
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Entity Type | Organization
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Legal Business Name | FAITH SPEECH, LANGUAGE, & SWALLOWING SVCS
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Dates
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Enumeration Date | 03/13/2023
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Last Update Date | 03/13/2023
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Provider Practice Location Address
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Address Line | 3868 DICKERSON PIKE STE 104
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City | NASHVILLE
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State | TN
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Zip | 37207-1313
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Country | US
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Telephone | 615-651-8659
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Fax | 615-651-8665
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Provider Business Mailing Address
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Address Line | 3868 DICKERSON PIKE STE 104
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City | NASHVILLE
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State | TN
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Zip | 37207-1313
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Country | US
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Telephone | 615-651-8659
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Fax | 615-651-8665
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Authorized Official
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Title or Position | CO-OWNER
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Name | KENNETH CAINE
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Credential | M.S., CCC-SLP
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Telephone | 615-668-9156
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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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