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General NPI Number Information
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NPI Number | 1770423147
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Entity Type | Organization
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Legal Business Name | STAR SPEECH THERAPY LLC
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Dates
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Enumeration Date | 03/28/2026
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Last Update Date | 03/28/2026
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Provider Practice Location Address
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Address Line | 225 MAGGIE MANCE LN
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City | HARVEST
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State | AL
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Zip | 35749-2504
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Country | US
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Telephone | 801-580-9740
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Fax | 938-225-3809
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Provider Business Mailing Address
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Address Line | 225 MAGGIE MANCE LN
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City | HARVEST
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State | AL
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Zip | 35749-2504
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Country | US
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Telephone | 801-580-9740
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Fax | 938-225-3809
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Authorized Official
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Title or Position | SLP
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Name | NICOLE BECKSTEAD
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Credential | MS, CCC
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Telephone | 801-580-9740
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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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