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General NPI Number Information
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NPI Number | 1942474101
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Entity Type | Organization
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Legal Business Name | SPEECH 4 KIDZ, INC
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Dates
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Enumeration Date | 04/18/2008
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Last Update Date | 04/18/2008
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Provider Practice Location Address
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Address Line | 200 VALENCIA DR #118
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City | JACKSONVILLE
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State | NC
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Zip | 28546-7356
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Country | US
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Telephone | 910-470-7937
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Fax |
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Provider Business Mailing Address
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Address Line | 5919 OLEANDER DR #119
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City | WILMINGTON
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State | NC
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Zip | 28403-4780
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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 | AMY HOWARD
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Credential |
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Telephone | 910-470-7937
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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 | 3878
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License Number State | NC
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