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General NPI Number Information
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NPI Number | 1740369099
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Entity Type | Organization
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Legal Business Name | CLEARLY SPEAKING INC
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Dates
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Enumeration Date | 11/06/2006
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Last Update Date | 01/03/2014
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Provider Practice Location Address
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Address Line | 6732 SPRING ST
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City | DOUGLASVILLE
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State | GA
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Zip | 30134-1760
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Country | US
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Telephone | 404-934-0605
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Fax | 770-577-2816
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Provider Business Mailing Address
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Address Line | PO BOX 6336
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City | DOUGLASVILLE
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State | GA
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Zip | 30154-0023
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Country | US
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Telephone | 404-934-0605
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Fax | 770-577-2816
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Authorized Official
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Title or Position | OWNER PRESIDENT PROVIDER
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Name | MS. TAMMY L VELLIQUETTE
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Credential | M.ED. CCC SLP L
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Telephone | 404-934-0605
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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 | SLP004538
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License Number State | GA
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