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General NPI Number Information
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NPI Number | 1982344693
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Entity Type | Organization
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Legal Business Name | ATHENS AREA BILINGUAL THERAPY LLC
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Dates
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Enumeration Date | 03/30/2022
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Last Update Date | 03/30/2022
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Provider Practice Location Address
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Address Line | 1825 KIRKLAND RD
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City | WATKINSVILLE
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State | GA
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Zip | 30677-3113
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Country | US
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Telephone | 706-614-3549
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Fax |
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Provider Business Mailing Address
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Address Line | 1825 KIRKLAND RD
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City | WATKINSVILLE
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State | GA
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Zip | 30677-3113
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Country | US
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Telephone | 706-614-3549
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Fax |
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Authorized Official
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Title or Position | OWNER/SLP
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Name | ABIGAIL OWENS
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Credential |
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Telephone | 706-614-3549
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QR0400X
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Taxonomy Name | Rehabilitation Clinic/Center
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License Number |
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License Number State |
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