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General NPI Number Information
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NPI Number | 1952858359
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Entity Type | Organization
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Legal Business Name | JOYFUL SPEECH, LLC
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Dates
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Enumeration Date | 09/02/2016
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Last Update Date | 09/02/2016
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Provider Practice Location Address
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Address Line | 130 BUTTERCUP LN
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City | BOGART
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State | GA
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Zip | 30622-1622
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Country | US
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Telephone | 706-247-4277
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Fax | 800-915-0219
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Provider Business Mailing Address
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Address Line | 130 BUTTERCUP LN
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City | BOGART
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State | GA
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Zip | 30622-1622
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Country | US
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Telephone | 706-247-4277
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Fax | 800-915-0219
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Authorized Official
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Title or Position | OWNER/SPEECH PATHOLOGIST
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Name | CARLA H PRUITT
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Credential | SLP
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Telephone | 706-247-4277
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number | GASLP003460
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License Number State | GA
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