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NPI 1245564665

NPI 1245564665 : CARA ELIZABETH STRAW M.S. CCC/SLP : GREEN RIVER, WY

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General NPI Number Information
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    NPI Number           |    1245564665
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    Entity Type          |    Individual 
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    Provider Name        |    CARA ELIZABETH STRAW M.S. CCC/SLP
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    10/01/2009
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    Last Update Date     |    02/28/2017
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Provider Practice Location Address
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    Address Line         |    1045 WASHAKIE AVE 
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    City                 |    GREEN RIVER
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    State                |    WY
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    Zip                  |    82935-5307
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    Country              |    US
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    Telephone            |    307-871-1115
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    1045 WASHAKIE AVE 
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    City                 |    GREEN RIVER
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    State                |    WY
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    Zip                  |    82935-5307
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    Country              |    US
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    Telephone            |    307-871-1115
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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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