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General NPI Number Information
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NPI Number | 1801209861
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Entity Type | Individual
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Provider Name | SALOME ANGELLE RANSON CCC-SLP
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Gender | Female
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Dates
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Enumeration Date | 06/07/2014
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 1705 HIGHWAY 138 SE UNIT 82981
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City | CONYERS
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State | GA
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Zip | 30013-0159
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Country | US
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Telephone | 678-357-6915
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Fax | 678-609-9378
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Provider Business Mailing Address
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Address Line | 2344 PRIME PT
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City | CONYERS
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State | GA
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Zip | 30013-1471
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Country | US
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Telephone | 615-479-7224
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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 | SLP008456
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License Number State | GA
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