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General NPI Number Information
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NPI Number | 1013414523
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Entity Type | Organization
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Legal Business Name | COLUMBIA PUBLIC SCHOOLS
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Dates
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Enumeration Date | 04/11/2018
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Last Update Date | 04/11/2018
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Provider Practice Location Address
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Address Line | 1818 W WORLEY ST
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City | COLUMBIA
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State | MO
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Zip | 65203-1038
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Country | US
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Telephone | 573-214-3462
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Fax |
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Provider Business Mailing Address
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Address Line | 3551 WELLINGTON DR
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City | COLUMBIA
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State | MO
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Zip | 65202-3432
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Country | US
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Telephone | 573-819-5399
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Fax |
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Authorized Official
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Title or Position | SPEECH-LANGUAGE PATHOLOGIST
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Name | MRS. DENISE ANN LASLEY
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Credential |
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Telephone | 573-819-5399
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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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