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General NPI Number Information
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NPI Number | 1972626877
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Entity Type | Organization
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Legal Business Name | THERAPEUTIC COMMUNICATION SERVICES, INC
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Dates
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Enumeration Date | 04/08/2007
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Last Update Date | 11/01/2018
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Provider Practice Location Address
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Address Line | 154 RAIN WOOD LN
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City | MOUTH OF WILSON
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State | VA
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Zip | 24363-3502
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Country | US
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Telephone | 919-612-6550
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Fax |
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Provider Business Mailing Address
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Address Line | 154 RAIN WOOD LN
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City | MOUTH OF WILSON
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State | VA
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Zip | 24363-3502
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Country | US
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Telephone | 919-612-6550
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DIANA GOODWIN
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Credential |
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Telephone | 919-612-6550
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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 | 1548
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License Number State | NC
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