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General NPI Number Information
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NPI Number | 1831681212
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Entity Type | Organization
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Legal Business Name | IN HOME SPEECH THERAPY, P.L.L.C.
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Dates
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Enumeration Date | 06/01/2018
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Last Update Date | 06/01/2018
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Provider Practice Location Address
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Address Line | 429 SHADY BROOK DRIVE
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City | RICHMOND
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State | KY
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Zip | 40475-8938
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Country | US
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Telephone | 859-200-4164
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Fax | 888-877-7156
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Provider Business Mailing Address
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Address Line | 429 SHADY BROOK DRIVE
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City | RICHMOND
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State | KY
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Zip | 40475-8938
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Country | US
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Telephone | 859-200-4164
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Fax | 888-877-7156
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Authorized Official
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Title or Position | SLP/OWNER
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Name | TERESA C. BOWERMAN
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Credential | SLP
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Telephone | 859-200-4164
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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 | 2819
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License Number State | KY
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