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General NPI Number Information
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NPI Number | 1932964319
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Entity Type | Organization
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Legal Business Name | THE SEED COLLECTIVE, LLC
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Dates
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Enumeration Date | 02/15/2024
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Last Update Date | 02/15/2024
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Provider Practice Location Address
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Address Line | 1020 EDNAM CTR STE 3
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City | CHARLOTTESVILLE
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State | VA
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Zip | 22903-4617
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Country | US
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Telephone | 434-233-0585
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Fax |
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Provider Business Mailing Address
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Address Line | 4796 BLUFTON RD
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City | CROZET
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State | VA
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Zip | 22932-1922
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Country | US
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Telephone | 276-768-9501
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Fax |
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Authorized Official
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Title or Position | SPEECH-LANGUAGE PATHOLOGIST
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Name | MEGAN KEGLEY
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Credential | MED, CCC-SLP
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Telephone | 276-768-9501
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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