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General NPI Number Information
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NPI Number | 1942703020
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Entity Type | Organization
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Legal Business Name | THE LANGUAGE LAB
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Dates
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Enumeration Date | 03/14/2018
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Last Update Date | 03/14/2018
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Provider Practice Location Address
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Address Line | 111 COLUMBUS STREET EAST
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City | FAYETTE
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State | AL
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Zip | 35555
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Country | US
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Telephone | 205-270-1651
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Fax | 205-932-6151
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Provider Business Mailing Address
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Address Line | 150 LAKEVIEW CIRCLE DR
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City | FAYETTE
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State | AL
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Zip | 35555-5160
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Country | US
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Telephone | 205-932-8964
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Fax |
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Authorized Official
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Title or Position | OWNER, SPEECH LANGUAGE PATHOLOGIST
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Name | MS. LANA LANGLEY
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Credential | M.S., CCC-SLP
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Telephone | 205-932-8964
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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 | 2699
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License Number State | AL
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