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General NPI Number Information
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NPI Number | 1952766883
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Entity Type | Organization
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Legal Business Name | THERE IS HOPE SPEECH THERAPY
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Dates
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Enumeration Date | 12/18/2015
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Last Update Date | 12/18/2015
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Provider Practice Location Address
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Address Line | 1852 CHANNEL CREEK RD
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City | JACKSON
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State | MS
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Zip | 39209-9195
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Country | US
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Telephone | 601-506-0632
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Fax | 601-385-3069
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Provider Business Mailing Address
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Address Line | 1852 CHANNEL CREEK RD
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City | JACKSON
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State | MS
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Zip | 39209-9195
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Country | US
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Telephone | 601-506-0632
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Fax | 601-385-3069
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Authorized Official
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Title or Position | SPEECH THERAPISTS/OWNER
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Name | JENNIFER COLLINS
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Credential | M.S.
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Telephone | 601-506-0632
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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 | S3601
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License Number State | MS
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