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General NPI Number Information
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NPI Number | 1063531721
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Entity Type | Organization
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Legal Business Name | FIRST WORDS SPEECH THERAPY SERVICES, LLC
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Dates
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Enumeration Date | 03/27/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2488 E GREEN CANYON DR
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City | MERIDIAN
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State | ID
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Zip | 83642-9194
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Country | US
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Telephone | 208-761-6341
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Fax | 208-846-8966
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Provider Business Mailing Address
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Address Line | PO BOX 190376
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City | BOISE
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State | ID
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Zip | 83719-0376
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Country | US
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Telephone | 208-761-6341
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Fax | 208-846-8966
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Authorized Official
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Title or Position | SPEECH-LANGUAGE PATHOLOGIST & OWNER
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Name | JOANNE M HUYLAR
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Credential | MS CCC-SLP
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Telephone | 208-761-6341
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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 | SLP-1103
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License Number State | ID
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