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General NPI Number Information
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NPI Number | 1942813647
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Entity Type | Individual
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Provider Name | ALLIE REID M.S., CCC-SLP
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Gender | Female
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Dates
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Enumeration Date | 08/24/2020
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Last Update Date | 02/22/2022
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Provider Practice Location Address
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Address Line | 4515 EDDIE WILLIAMS AVE
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City | ALEXANDRIA
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State | LA
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Zip | 71302-3628
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Country | US
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Telephone | 601-754-9612
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Fax |
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Provider Business Mailing Address
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Address Line | 549 VERSAILLES BLVD APT B
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City | ALEXANDRIA
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State | LA
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Zip | 71303-2566
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Country | US
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Telephone | 601-754-9612
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 8975
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License Number State | LA
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Taxonomy #2
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | S4693
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License Number State | MS
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