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General NPI Number Information
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NPI Number | 1194679233
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Entity Type | Organization
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Legal Business Name | COLLABORATE THERAPY SERVICES
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Dates
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Enumeration Date | 02/25/2026
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Last Update Date | 02/25/2026
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Provider Practice Location Address
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Address Line | 1304 4TH AVE NW
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City | MINOT
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State | ND
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Zip | 58703-3069
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Country | US
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Telephone | 701-852-4071
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Fax |
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Provider Business Mailing Address
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Address Line | 1324 TUXEDO RD
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City | MINOT
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State | ND
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Zip | 58703-1640
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Country | US
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Telephone | 701-852-4071
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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 | MADISON MAGNUSON
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Credential | MS, CCC-SLP
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Telephone | 701-509-7143
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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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