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General NPI Number Information
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NPI Number | 1710802210
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Entity Type | Organization
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Legal Business Name | STELLA SPEECH THERAPY PLLC
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Dates
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Enumeration Date | 08/12/2026
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Last Update Date | 08/12/2026
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Provider Practice Location Address
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Address Line | 3905 US 29 BUS
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City | DANVILLE
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State | VA
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Zip | 24540
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Country | US
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Telephone | 434-661-5352
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Fax | 434-302-9988
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Provider Business Mailing Address
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Address Line | 1180 DAVID GILES LN
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City | BLAIRS
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State | VA
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Zip | 24527-3768
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Country | US
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Telephone | 434-661-5352
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Fax | 434-302-9988
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Authorized Official
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Title or Position | SPEECH-LANGUAGE PATHOLOGIST
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Name | MRS. JENNIFER KRISTINE CHACON
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Credential | M.S. CCC-SLP
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Telephone | 434-661-5352
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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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