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General NPI Number Information
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NPI Number | 1801319462
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Entity Type | Organization
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Legal Business Name | BE BLESSED THERAPY PLLC
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Dates
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Enumeration Date | 07/25/2017
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Last Update Date | 07/25/2017
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Provider Practice Location Address
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Address Line | 4410 WOLF RUN DR
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City | GREENSBORO
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State | NC
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Zip | 27406-8095
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Country | US
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Telephone | 336-965-6518
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Fax | 866-279-9300
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Provider Business Mailing Address
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Address Line | 4410 WOLF RUN DR
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City | GREENSBORO
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State | NC
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Zip | 27406-8095
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT/SPEECH PATHOLOGIST
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Name | DR. SHARITA WILLIAMS-CROSSEN
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Credential |
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Telephone | 336-965-6518
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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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