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General NPI Number Information
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NPI Number | 1821469099
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Entity Type | Organization
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Legal Business Name | TERRI H. COHEN DBA SPEECH AND LANGUAGE SERVICES
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Dates
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Enumeration Date | 10/14/2015
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Last Update Date | 11/18/2015
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Provider Practice Location Address
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Address Line | 1442 DRESDEN DR NE UNIT 258
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City | BROOKHAVEN
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State | GA
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Zip | 30319-3590
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Country | US
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Telephone | 770-642-0670
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Fax |
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Provider Business Mailing Address
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Address Line | 11050 CRABAPPLE RD BLDG D SUITE 115-A
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City | ROSWELL
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State | GA
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Zip | 30075-2489
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Country | US
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Telephone | 770-642-0670
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Fax |
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Authorized Official
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Title or Position | OWNER/THERAPIST
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Name | MS. TERRI HASKINS COHEN
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Credential | MS CCC-SLP
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Telephone | 770-642-0670
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0700X
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Taxonomy Name | Hearing and Speech Clinic/Center
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License Number | SLP001587
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License Number State | GA
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