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General NPI Number Information
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NPI Number | 1073084117
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Entity Type | Organization
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Legal Business Name | BEYOND WORDS SPEECH AND LANGUAGE THERAPY
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Dates
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Enumeration Date | 12/16/2018
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Last Update Date | 12/16/2018
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Provider Practice Location Address
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Address Line | 4103 N 194TH ST
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City | ELKHORN
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State | NE
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Zip | 68022-5228
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Country | US
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Telephone | 402-960-0243
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Fax |
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Provider Business Mailing Address
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Address Line | 4103 N 194TH ST
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City | ELKHORN
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State | NE
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Zip | 68022-5228
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Country | US
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Telephone | 402-960-0243
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Fax |
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Authorized Official
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Title or Position | OWNER/SPEECH LANGUAGE PATHOLOGIST
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Name | ASHLEY HEIN
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Credential | M.S., CCC-SLP
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Telephone | 402-960-0243
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0700X
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Taxonomy Name | Hearing and Speech Clinic/Center
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License Number |
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License Number State |
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