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General NPI Number Information
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NPI Number | 1972733129
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Entity Type | Individual
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Provider Name | ANEESHA PATRICE PRETTO CCC-SLP
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Gender | Female
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Dates
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Enumeration Date | 07/22/2009
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Last Update Date | 03/14/2011
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Provider Practice Location Address
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Address Line | 1901 CENTURY BLVD NE
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City | ATLANTA
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State | GA
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Zip | 30345-3300
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Country | US
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Telephone | 404-633-8911
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Fax |
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Provider Business Mailing Address
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Address Line | 2965 PHARR COURT SOUTH NW APT 703
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City | ATLANTA
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State | GA
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Zip | 30305-2142
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Country | US
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Telephone | 919-593-3381
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | SLP007507
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License Number State | GA
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