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General NPI Number Information
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NPI Number | 1689917882
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Entity Type | Organization
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Legal Business Name | LET'S TALK TOGETHER
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Dates
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Enumeration Date | 04/05/2013
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Last Update Date | 04/05/2013
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Provider Practice Location Address
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Address Line | 616 VINE ST
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City | MORRIS
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State | IL
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Zip | 60450-1757
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Country | US
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Telephone | 815-671-2633
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Fax | 815-942-1291
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Provider Business Mailing Address
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Address Line | 616 VINE ST
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City | MORRIS
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State | IL
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Zip | 60450-1757
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Country | US
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Telephone | 815-671-2633
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Fax | 815-942-1291
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Authorized Official
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Title or Position | SPEECH PATHOLOGIST
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Name | MRS. MARGARET IRENE SHAY
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Credential | M.S.CCC-SLP
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Telephone | 815-671-2633
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 252Y00000X
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Taxonomy Name | Early Intervention Provider Agency
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License Number | MS35200202P
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License Number State | IL
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