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General NPI Number Information
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NPI Number | 1821665324
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Entity Type | Organization
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Legal Business Name | DEFY THERAPY SERVICES
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Dates
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Enumeration Date | 06/04/2021
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Last Update Date | 10/21/2021
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Provider Practice Location Address
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Address Line | 2213 BEAUMONT RD
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City | WILMINGTON
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State | DE
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Zip | 19803-3016
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Country | US
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Telephone | 302-404-4264
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Fax |
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Provider Business Mailing Address
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Address Line | 2213 BEAUMONT RD
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City | WILMINGTON
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State | DE
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Zip | 19803-3016
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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 | OWNER/SPEECH THERAPIST
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Name | MRS. MARGARET MCCORMICK KALINEC
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Credential | CCC-SLP
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Telephone | 302-404-4264
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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 |
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License Number State |
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Taxonomy #2
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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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