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General NPI Number Information
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NPI Number | 1891611216
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Entity Type | Organization
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Legal Business Name | THE SPEECH AND LANGUAGE THERAPY CENTER, LLC
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Dates
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Enumeration Date | 06/29/2026
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Last Update Date | 06/29/2026
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Provider Practice Location Address
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Address Line | 561 THORNTON RD STE U
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City | LITHIA SPRINGS
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State | GA
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Zip | 30122-1558
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Country | US
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Telephone | 404-729-9725
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Fax |
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Provider Business Mailing Address
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Address Line | 4421 DENTON DR
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City | DOUGLASVILLE
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State | GA
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Zip | 30135-3373
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | TINEKA THOMPSON
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Credential |
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Telephone | 404-729-9725
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0700X
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Taxonomy Name | Hearing and Speech Clinic/Center
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License Number |
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License Number State |
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