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General NPI Number Information
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NPI Number | 1700478690
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Entity Type | Organization
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Legal Business Name | INNOVATIVE NEUROLOGICAL SPEECH SOLUTIONS
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Dates
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Enumeration Date | 02/11/2021
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Last Update Date | 02/11/2021
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Provider Practice Location Address
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Address Line | 820 MAIN LN APT 1446
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City | ORLANDO
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State | FL
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Zip | 32801-3888
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Country | US
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Telephone | 513-240-8518
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Fax |
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Provider Business Mailing Address
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Address Line | 820 MAIN LN APT 1446
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City | ORLANDO
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State | FL
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Zip | 32801-3888
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Country | US
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Telephone | 513-240-8518
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Fax |
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Authorized Official
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Title or Position | CEO/FOUNDER- SPEECH PATHOLOGIST
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Name | MR. MIKEL M WILLIAMS
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Credential | M.S., CCC-SLP
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Telephone | 513-240-8518
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225400000X
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Taxonomy Name | Rehabilitation Practitioner
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License Number |
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License Number State |
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