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General NPI Number Information
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NPI Number | 1184590796
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Entity Type | Organization
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Legal Business Name | SAIL THERAPY
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Dates
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Enumeration Date | 10/13/2025
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Last Update Date | 12/05/2025
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Provider Practice Location Address
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Address Line | 4225 S EASTERN AVE # 6-266
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City | LAS VEGAS
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State | NV
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Zip | 89119-5486
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Country | US
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Telephone | 702-218-7484
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Fax |
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Provider Business Mailing Address
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Address Line | 4225 S EASTERN AVE # 6-266
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City | LAS VEGAS
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State | NV
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Zip | 89119-5486
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Country | US
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Telephone | 702-218-7484
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Fax |
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Authorized Official
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Title or Position | SPEECH LANGUAGE PATHOLOGIST
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Name | MS. ANTOINETTE MARIE HORRISLAND
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Credential | MS.CCC-SLP
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Telephone | 702-218-7484
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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 |
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License Number State |
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