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General NPI Number Information
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NPI Number | 1831474881
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Entity Type | Organization
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Legal Business Name | WORD REHAB INC.
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Dates
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Enumeration Date | 10/20/2011
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Last Update Date | 10/20/2011
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Provider Practice Location Address
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Address Line | 130 WATERFORD WAY
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City | GRIFFIN
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State | GA
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Zip | 30223-9001
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Country | US
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Telephone | 770-317-6708
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Fax | 678-840-3638
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Provider Business Mailing Address
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Address Line | 130 WATERFORD WAY
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City | GRIFFIN
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State | GA
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Zip | 30223-9001
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Country | US
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Telephone | 770-317-6708
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Fax | 678-840-3638
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. SONIA A.F. FIELDS
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Credential | M.S. CCC-SLP
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Telephone | 770-317-6708
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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 | SLP003250
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License Number State | GA
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