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General NPI Number Information
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NPI Number | 1699068957
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Entity Type | Organization
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Legal Business Name | LET'S TALK THERAPY, LLC
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Dates
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Enumeration Date | 05/19/2011
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Last Update Date | 05/19/2015
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Provider Practice Location Address
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Address Line | 4500 SATELLITE BLVD SUITE 2250
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City | DULUTH
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State | GA
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Zip | 30096-5037
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Country | US
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Telephone | 800-381-2195
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Fax | 888-381-0822
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Provider Business Mailing Address
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Address Line | 4500 SATELLITE BLVD. SUITE 2250
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City | DULUTH
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State | GA
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Zip | 30096-5037
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Country | US
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Telephone | 800-381-2195
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Fax | 888-381-0822
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Authorized Official
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Title or Position | DIRECTOR OF OPERATIONS
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Name | MR. TEDDY FAYNE
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Credential |
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Telephone | 800-381-2195
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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 | 007160
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License Number State | GA
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