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General NPI Number Information
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NPI Number | 1730327404
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Entity Type | Organization
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Legal Business Name | ELISHA'S SPEECH AND LANGUAGE SERVICES, LLC.
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Dates
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Enumeration Date | 02/03/2009
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Last Update Date | 02/03/2009
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Provider Practice Location Address
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Address Line | 2012 W SECOND ST APT 141
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City | LONG BEACH
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State | MS
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Zip | 39560-5553
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Country | US
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Telephone | 601-248-6841
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Fax |
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Provider Business Mailing Address
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Address Line | 2012 W SECOND ST APT 141
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City | LONG BEACH
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State | MS
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Zip | 39560-5553
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Country | US
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Telephone | 601-248-6841
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Fax |
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Authorized Official
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Title or Position | SPEECH LANGUAGE PATHOLOGIST/OWNER
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Name | MS. ELISHA ROKIA HARRELL
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Credential | M.S.CCC-SLP
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Telephone | 601-248-6841
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0700X
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Taxonomy Name | Hearing and Speech Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 273Y00000X
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Taxonomy Name | Rehabilitation Hospital Unit
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 252Y00000X
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Taxonomy Name | Early Intervention Provider Agency
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License Number |
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License Number State |
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