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General NPI Number Information
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NPI Number | 1952572448
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Entity Type | Organization
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Legal Business Name | TRI-COUNTY SPEECH PATHOLOGY SERVICES
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Dates
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Enumeration Date | 03/12/2008
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Last Update Date | 03/12/2008
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Provider Practice Location Address
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Address Line | 226 WATERFORD PKWY
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City | ORANGEBURG
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State | SC
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Zip | 29118-9067
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Country | US
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Telephone | 803-531-3459
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Fax |
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Provider Business Mailing Address
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Address Line | 226 WATERFORD PKWY
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City | ORANGEBURG
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State | SC
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Zip | 29118-9067
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Country | US
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Telephone | 803-531-3459
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | MS. DEBRA FRISHBERG
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Credential | MA,CCC-SLP
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Telephone | 803-531-3459
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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 | 406
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License Number State | SC
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