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General NPI Number Information
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NPI Number | 1891156071
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Entity Type | Organization
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Legal Business Name | PIONEER HEALTH GROUP LLC
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Dates
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Enumeration Date | 03/15/2016
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Last Update Date | 03/22/2016
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Provider Practice Location Address
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Address Line | 15129 OXFORD HOLW
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City | HUNTERSVILLE
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State | NC
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Zip | 28078-5511
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Country | US
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Telephone | 828-773-4483
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Fax |
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Provider Business Mailing Address
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Address Line | 15129 OXFORD HOLLOW RD
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City | HUNTERSVILLE
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State | NC
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Zip | 28078-5511
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Country | US
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Telephone | 828-773-4483
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Fax |
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Authorized Official
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Title or Position | OWNER/SPEECH-LANGUAGE PATHOLOGIST
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Name | MR. TRACY B BALL
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Credential |
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Telephone | 828-773-4483
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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 |
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License Number State |
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