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General NPI Number Information
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NPI Number | 1245153048
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Entity Type | Organization
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Legal Business Name | LIFESPAN ASSESSMENT SERVICES LLC
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Dates
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Enumeration Date | 07/30/2026
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Last Update Date | 07/30/2026
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Provider Practice Location Address
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Address Line | 4645 18TH ST STE 200
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City | GREELEY
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State | CO
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Zip | 80634-3227
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Country | US
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Telephone | 970-639-5863
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Fax | 970-301-3954
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Provider Business Mailing Address
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Address Line | 4645 18TH ST STE 200
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City | GREELEY
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State | CO
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Zip | 80634-3227
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Country | US
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Telephone | 970-639-5863
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Fax | 970-301-3954
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Authorized Official
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Title or Position | OWNER
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Name | MRS. SARAH POFAHL
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Credential | MS CCC-SLP
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Telephone | 970-639-5863
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0700X
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Taxonomy Name | Hearing and Speech Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QR0400X
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Taxonomy Name | Rehabilitation Clinic/Center
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License Number |
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License Number State |
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