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NPI 1043169659

NPI 1043169659 : WELL PLAYED PEDIATRIC THERAPY LLC : MESA, AZ

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General NPI Number Information
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    NPI Number           |    1043169659
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    Entity Type          |    Organization 
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    Legal Business Name  |    WELL PLAYED PEDIATRIC THERAPY LLC 
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Dates
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    Enumeration Date     |    01/26/2026
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    Last Update Date     |    01/26/2026
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Provider Practice Location Address
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    Address Line         |    6836 E BROWN RD STE 102 
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    City                 |    MESA
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    State                |    AZ
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    Zip                  |    85207-3756
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    Country              |    US
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    Telephone            |    925-200-6348
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    6836 E BROWN RD STE 102 
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    City                 |    MESA
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    State                |    AZ
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    Zip                  |    85207-3756
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    Country              |    US
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    Telephone            |    925-200-6348
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     LINDSAY GABRIELLE GARST 
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    Credential           |    M.S., CCC-SLP
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    Telephone            |    925-200-6348
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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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