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General NPI Number Information
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NPI Number | 1205247194
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Entity Type | Individual
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Provider Name | GRETA CHURILLO M.S. SLP-CCC
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Gender | Female
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Dates
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Enumeration Date | 05/13/2014
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Last Update Date | 09/22/2023
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Provider Practice Location Address
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Address Line | 7598 HALLEYS DR
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City | LITTLETON
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State | CO
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Zip | 80125-8957
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Country | US
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Telephone | 303-895-0566
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Fax |
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Provider Business Mailing Address
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Address Line | 701 PRAIRIE HAWK DR
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City | CASTLE ROCK
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State | CO
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Zip | 80109-8001
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Country | US
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Telephone | 303-895-0566
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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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