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General NPI Number Information
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NPI Number | 1740063817
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Entity Type | Organization
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Legal Business Name | GROWING LITTLE VOICES SPEECH THERAPY, LLC
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Dates
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Enumeration Date | 08/14/2023
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Last Update Date | 01/09/2024
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Provider Practice Location Address
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Address Line | 111 CENTER PARK DR STE 600
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City | KNOXVILLE
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State | TN
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Zip | 37922-2130
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Country | US
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Telephone | 865-224-3438
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Fax | 423-220-8756
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Provider Business Mailing Address
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Address Line | 111 CENTER PARK DR STE 600
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City | KNOXVILLE
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State | TN
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Zip | 37922-2130
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Country | US
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Telephone | 865-224-3438
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Fax | 423-220-8756
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Authorized Official
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Title or Position | OWNER/CCC-SLP
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Name | MRS. VIRGINIA LUACES HURST
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Credential | M.A., CCC/SLP
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Telephone | 865-224-3438
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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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