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General NPI Number Information
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NPI Number | 1881036572
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Entity Type | Organization
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Legal Business Name | SCHOOL DISTRICT OF NEWBERRY COUNTY
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Dates
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Enumeration Date | 07/23/2013
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Last Update Date | 07/23/2013
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Provider Practice Location Address
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Address Line | 381 S WHEELER AVE
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City | PROSPERITY
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State | SC
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Zip | 29127-9346
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Country | US
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Telephone | 803-364-2321
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Fax |
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Provider Business Mailing Address
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Address Line | 381 S WHEELER AVE
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City | PROSPERITY
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State | SC
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Zip | 29127-9346
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Country | US
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Telephone | 803-364-2321
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Fax |
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Authorized Official
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Title or Position | SPEECH THERAPIST
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Name | KAREN T. FISHER
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Credential | CCC-SLP
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Telephone | 803-364-2321
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251300000X
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Taxonomy Name | Local Education Agency (LEA)
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License Number | 4694
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License Number State | SC
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