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Contact Information

CAPITOL CITY SPEECH THERAPY
141 N MAIN ST
FUQUAY VARINA, NC27526-1933
 Phone: 919-577-6807
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Developmental Therapist

222Q00000X
 

Community/Behavioral Health

251S00000X
Indicates primary specialty

NPI Profile & details for CAPITOL CITY SPEECH THERAPY

NPI # 1508052556
LBN Legal business name CAPITOL CITY SPEECH THERAPY
Authorized official TRACY BARNES - (OWNER/MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 09/23/2007
Last updated 07/02/2013 - About 13 years ago
Identifiers
NC License # 4178
NC Medicaid 8300172
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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