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General NPI Number Information
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NPI Number | 1184110959
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Entity Type | Organization
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Legal Business Name | SLS THERAPY, LLC
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Dates
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Enumeration Date | 07/05/2018
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Last Update Date | 07/05/2018
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Provider Practice Location Address
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Address Line | 7992 E KENYON DR
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City | DENVER
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State | CO
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Zip | 80237-1500
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Country | US
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Telephone | 303-908-5670
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Fax |
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Provider Business Mailing Address
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Address Line | 7992 E KENYON DR
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City | DENVER
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State | CO
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Zip | 80237-1500
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Country | US
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Telephone | 303-908-5670
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Fax |
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Authorized Official
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Title or Position | SPEECH PATHOLOGIST
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Name | SARAH SHIELDS
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Credential | M.A.
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Telephone | 303-908-5670
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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 | 12146632
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License Number State | CO
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