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General NPI Number Information
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NPI Number | 1972596898
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Entity Type | Organization
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Legal Business Name | BAILEY SPEECH AND LANGUAGE SERVICES
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Dates
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Enumeration Date | 08/25/2005
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Last Update Date | 01/11/2011
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Provider Practice Location Address
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Address Line | 735 LONGLEAF BLVD SUITE A
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City | LAWRENCEVILLE
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State | GA
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Zip | 30045-8443
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Country | US
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Telephone | 770-995-2378
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Fax | 678-377-9272
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Provider Business Mailing Address
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Address Line | 306 S. PERRY ST.
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City | LAWRENCEVILLE
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State | GA
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Zip | 30046
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Country | US
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Telephone | 770-995-2378
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Fax | 678-377-9272
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Authorized Official
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Title or Position | OWNER
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Name | MS. BEVERLY BAILEY
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Credential | M.S. CCC-SLP
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Telephone | 770-995-2378
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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 | SLP001643
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License Number State | GA
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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 | SLP004673
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License Number State | GA
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Taxonomy #3
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | SLP000631
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License Number State | GA
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Taxonomy #4
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | SLP005405
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License Number State | GA
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Taxonomy #5
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | SLP003258
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License Number State | GA
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Taxonomy #6
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | SLP004594
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License Number State | GA
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Taxonomy #7
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | SLP000710
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License Number State | GA
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