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General NPI Number Information
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NPI Number | 1760531727
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Entity Type | Organization
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Legal Business Name | SPEECH AND READING CENTER, LLC
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Dates
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Enumeration Date | 01/09/2007
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Last Update Date | 08/07/2007
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Provider Practice Location Address
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Address Line | 578 E DUVAL ST
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City | LAKE CITY
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State | FL
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Zip | 32055-3471
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Country | US
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Telephone | 386-752-9919
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Fax | 386-752-9244
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Provider Business Mailing Address
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Address Line | 578 E DUVAL ST
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City | LAKE CITY
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State | FL
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Zip | 32055-3471
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Country | US
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Telephone | 386-752-9919
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Fax | 386-752-9244
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Authorized Official
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Title or Position | OWNER SPEECH LANGUAGE PATHOLOGIST
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Name | NATALIE K MURRAY
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Credential | M.ED. CCC-SLP
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Telephone | 386-752-9919
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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 | SA 6219
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License Number State | FL
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