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General NPI Number Information
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NPI Number | 1114280906
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Entity Type | Organization
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Legal Business Name | SPEECH THERAPY ASSOCIATES INC
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Dates
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Enumeration Date | 06/18/2012
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Last Update Date | 03/09/2023
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Provider Practice Location Address
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Address Line | 501 S RANCHO DR SUITE I-60
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City | LAS VEGAS
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State | NV
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Zip | 89106-4828
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Country | US
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Telephone | 702-598-1622
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Fax | 702-598-1696
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Provider Business Mailing Address
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Address Line | 501 S RANCHO DR SUITE I-60
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City | LAS VEGAS
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State | NV
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Zip | 89106-4828
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Country | US
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Telephone | 702-598-1622
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Fax | 702-598-1696
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Authorized Official
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Title or Position | AUTHORISED OFFICIAL
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Name | BARBARA R SCHWARTZ
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Credential |
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Telephone | 702-598-1622
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | SP 148
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License Number State | NV
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Taxonomy #3
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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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