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General NPI Number Information
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NPI Number | 1770645236
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Entity Type | Individual
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Provider Name | ELIZABETH A MCNEELY MS CCC SLP
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Gender | Female
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Dates
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Enumeration Date | 12/14/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 711 SHIELDS RD
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City | DALTON
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State | GA
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Zip | 30720-5013
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Country | US
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Telephone | 706-278-3839
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Fax | 706-259-7432
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Provider Business Mailing Address
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Address Line | 1030 WILLOWDALE RD NW APT 19
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City | DALTON
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State | GA
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Zip | 30720-7150
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Country | US
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Telephone | 706-217-2309
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | SLP002018
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License Number State | GA
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