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General NPI Number Information
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NPI Number | 1154618049
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Entity Type | Organization
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Legal Business Name | BUTTERFLY SPEECH THERAPY & CONSULTANTS, LLC
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Dates
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Enumeration Date | 06/30/2011
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Last Update Date | 03/01/2016
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Provider Practice Location Address
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Address Line | 6026 KALAMAZOO AVE SE #304
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City | GRAND RAPIDS
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State | MI
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Zip | 49508-7018
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Country | US
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Telephone | 616-920-1908
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Fax |
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Provider Business Mailing Address
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Address Line | 6026 KALAMAZOO AVE SE #304
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City | GRAND RAPIDS
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State | MI
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Zip | 49508-7018
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Country | US
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Telephone | 313-675-6815
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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 | K TERESE GRIMMETT
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Credential | M.ED., CCC-SLP
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Telephone | 616-920-1908
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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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