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General NPI Number Information
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NPI Number | 1922437789
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Entity Type | Organization
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Legal Business Name | GLOBAL SPEECH AND SWALLOW, LLC
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Dates
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Enumeration Date | 11/02/2013
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Last Update Date | 11/02/2013
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Provider Practice Location Address
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Address Line | 4765 KARNS AVE
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City | LISLE
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State | IL
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Zip | 60532-1666
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Country | US
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Telephone | 630-578-1102
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Fax |
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Provider Business Mailing Address
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Address Line | 4765 KARNS AVE
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City | LISLE
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State | IL
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Zip | 60532-1666
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Country | US
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Telephone | 630-578-1102
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Fax |
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Authorized Official
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Title or Position | DIRECTOR-SPEECH-LANGUAGE PATHOLOGY
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Name | SONIA SETHI
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Credential | M.S.,CCC-SLP
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Telephone | 309-287-0546
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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 | 146008471
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License Number State | IL
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