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General NPI Number Information
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NPI Number | 1124685730
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Entity Type | Organization
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Legal Business Name | COMPASS THERAPY
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Dates
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Enumeration Date | 05/20/2019
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Last Update Date | 03/14/2022
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Provider Practice Location Address
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Address Line | 9520 PROTOTYPE CT
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City | RENO
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State | NV
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Zip | 89521-5916
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Country | US
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Telephone | 775-852-6323
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Fax | 775-852-6321
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Provider Business Mailing Address
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Address Line | 9520 PROTOTYPE CT
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City | RENO
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State | NV
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Zip | 89521-5916
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Country | US
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Telephone | 775-852-6323
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Fax | 775-852-6321
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Authorized Official
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Title or Position | MANAGER
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Name | KAITLIN PUSTEJOVSKY
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Credential | M.A., CCC-SLP
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Telephone | 650-339-3949
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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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