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General NPI Number Information
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NPI Number | 1710484027
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Entity Type | Organization
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Legal Business Name | RP SPEECH SERVICES LLC
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Dates
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Enumeration Date | 04/12/2018
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Last Update Date | 04/12/2018
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Provider Practice Location Address
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Address Line | 1625 NASHVILLE ST
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City | RUSSELLVILLE
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State | KY
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Zip | 42276-8853
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Country | US
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Telephone | 270-792-9009
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Fax |
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Provider Business Mailing Address
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Address Line | 213 MATLOCK RD
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City | AUBURN
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State | KY
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Zip | 42206-9323
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Country | US
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Telephone | 270-792-9009
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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 | MRS. REBECCA BREWER PEARSON
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Credential | MSCCC-SLP
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Telephone | 270-792-9009
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | 143196
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License Number State | KY
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