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General NPI Number Information
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NPI Number | 1225764129
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Entity Type | Individual
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Provider Name | MORGAN BOUTTE M.S., CCC-SLP
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Gender | Female
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Dates
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Enumeration Date | 07/25/2022
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Last Update Date | 10/09/2024
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Provider Practice Location Address
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Address Line | 519 AVENIDA CESAR E CHAVEZ
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City | KANSAS CITY
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State | MO
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Zip | 64108-2133
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Country | US
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Telephone | 888-913-1910
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Fax |
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Provider Business Mailing Address
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Address Line | 8732 W 70TH ST
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City | MERRIAM
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State | KS
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Zip | 66204-1106
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Country | US
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Telephone |
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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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