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General NPI Number Information
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NPI Number | 1902420946
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Entity Type | Organization
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Legal Business Name | PERKINS ADULT SPEECH SERVICES LLC
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Dates
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Enumeration Date | 06/05/2020
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Last Update Date | 06/29/2020
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Provider Practice Location Address
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Address Line | 106 LINCREEK DR
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City | COLUMBIA
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State | SC
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Zip | 29212-8101
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Country | US
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Telephone | 803-960-4384
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Fax |
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Provider Business Mailing Address
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Address Line | 106 LINCREEK DR
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City | COLUMBIA
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State | SC
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Zip | 29212-8101
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Country | US
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Telephone | 803-960-4384
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Fax |
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Authorized Official
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Title or Position | SPEECH PATHOLOGIST
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Name | MELANIE GAYLE PERKINS
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Credential | MSP CCC SLP
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Telephone | 803-960-4384
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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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