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General NPI Number Information
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NPI Number | 1114266335
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Entity Type | Organization
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Legal Business Name | COLORADO CENTER FOR STUTTERING THERAPY
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Dates
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Enumeration Date | 02/07/2013
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Last Update Date | 02/07/2013
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Provider Practice Location Address
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Address Line | 2696 S COLORADO BLVD #345
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City | DENVER
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State | CO
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Zip | 80222-5945
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Country | US
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Telephone | 303-722-0712
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Fax | 303-722-0712
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Provider Business Mailing Address
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Address Line | 2696 S COLORADO BLVD #345
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City | DENVER
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State | CO
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Zip | 80222-5945
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Country | US
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Telephone | 303-722-0712
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Fax | 303-722-0712
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Authorized Official
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Title or Position | OWNER SPEECH LANGUAGE PATHOLOGIST
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Name | PATTY A WALTON
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Credential | M.A.C.C.C.SLP BRS FD
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Telephone | 303-722-0712
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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 | NONE REQUIRED
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License Number State | CO
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