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General NPI Number Information
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NPI Number | 1114455193
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Entity Type | Organization
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Legal Business Name | ONWARD THERAPIES LLC
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Dates
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Enumeration Date | 06/02/2017
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Last Update Date | 06/02/2017
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Provider Practice Location Address
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Address Line | 615 BURKARTH SUITE D
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City | WARRENSBURG
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State | MO
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Zip | 64093
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Country | US
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Telephone | 417-342-0126
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Fax |
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Provider Business Mailing Address
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Address Line | 191 SE 51ST RD
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City | WARRENSBURG
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State | MO
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Zip | 64093-7715
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Country | US
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Telephone | 417-342-0126
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Fax |
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Authorized Official
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Title or Position | SPEECH-LANGUAGE PATHOLOGIST/ OWNER
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Name | JENNIFER GREENWALT
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Credential | M.S.CCC-SLP
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Telephone | 417-342-0126
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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 | 2013039614
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License Number State | MO
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