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General NPI Number Information
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NPI Number | 1740410893
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Entity Type | Organization
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Legal Business Name | CORNERSTONE SPEECH LANGUAGE AND LEARNING CENTER; INC.
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Dates
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Enumeration Date | 07/23/2009
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Last Update Date | 06/23/2015
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Provider Practice Location Address
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Address Line | 113 DUBLIN DR SE
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City | CALHOUN
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State | GA
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Zip | 30701-4462
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Country | US
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Telephone | 706-625-3264
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Fax | 706-625-0175
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Provider Business Mailing Address
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Address Line | 113 DUBLIN DR SE
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City | CALHOUN
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State | GA
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Zip | 30701-4462
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Country | US
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Telephone | 706-625-3264
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Fax | 706-625-0175
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Authorized Official
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Title or Position | OWNER
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Name | MRS. SANDRA MORGAN
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Credential | M.ED, CCC-SLP
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Telephone | 706-625-3264
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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 | SLP000996
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License Number State | GA
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