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General NPI Number Information
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NPI Number | 1003211798
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Entity Type | Organization
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Legal Business Name | THERAPY UNLIMITED
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Dates
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Enumeration Date | 10/24/2014
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Last Update Date | 01/02/2025
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Provider Practice Location Address
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Address Line | 4200 MERCHANT ST STE 103
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City | COLUMBIA
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State | MO
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Zip | 65203-5816
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Country | US
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Telephone | 573-777-8783
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Fax | 573-777-8784
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Provider Business Mailing Address
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Address Line | 4200 MERCHANT ST STE 103
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City | COLUMBIA
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State | MO
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Zip | 65203-5816
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Country | US
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Telephone | 573-777-8783
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Fax | 573-777-8784
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Authorized Official
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Title or Position | SPEECH PATHOLOGIST
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Name | LAURA POWELL
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Credential | MS CCC-SLP
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Telephone | 573-268-5014
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225XP0200X
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Taxonomy Name | Pediatric Occupational Therapist
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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 | 261QH0700X
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Taxonomy Name | Hearing and Speech Clinic/Center
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License Number | 2006022412
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License Number State | MO
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