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General NPI Number Information
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NPI Number | 1831881259
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Entity Type | Organization
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Legal Business Name | THREE SPARROWS THERAPY, LLC
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Dates
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Enumeration Date | 05/24/2023
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Last Update Date | 08/26/2025
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Provider Practice Location Address
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Address Line | 200 N LEWIS ST
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City | LAGRANGE
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State | GA
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Zip | 30240-2738
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Country | US
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Telephone | 706-302-0299
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Fax | 888-902-2061
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Provider Business Mailing Address
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Address Line | 1696 OAK GROVE RD
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City | PINE MOUNTAIN
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State | GA
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Zip | 31822-4554
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Country | US
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Telephone | 706-302-0299
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Fax | 888-902-2061
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Authorized Official
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Title or Position | OWNER
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Name | KRISTEN HALL
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Credential | M. ED, CCC-SLP
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Telephone | 706-302-0299
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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