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General NPI Number Information
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NPI Number | 1790782498
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Entity Type | Organization
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Legal Business Name | FAMILY HEARING AND SPEECH CENTER OF WEST COBB, INC.
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Dates
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Enumeration Date | 07/07/2005
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1690 POWDER SPRINGS RD SW SUITE 208
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City | MARIETTA
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State | GA
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Zip | 30064-4844
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Country | US
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Telephone | 770-425-1095
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Fax | 770-425-4330
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Provider Business Mailing Address
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Address Line | 260 WHISPERWOOD LN NW
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City | MARIETTA
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State | GA
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Zip | 30064-1665
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Country | US
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Telephone | 770-499-8782
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. DONNA LEACH
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Credential | AU.D.
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Telephone | 770-425-1095
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 231H00000X
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Taxonomy Name | Audiologist
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License Number |
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License Number State |
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