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General NPI Number Information
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NPI Number | 1265129662
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Entity Type | Organization
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Legal Business Name | LINGO SPEECH THERAPY
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Dates
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Enumeration Date | 04/18/2023
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Last Update Date | 05/01/2023
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Provider Practice Location Address
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Address Line | 600 22ND AVE NW STE 2
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City | MINOT
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State | ND
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Zip | 58703-0986
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Country | US
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Telephone | 701-818-9958
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Fax |
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Provider Business Mailing Address
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Address Line | 2300 63RD ST NW
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City | MINOT
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State | ND
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Zip | 58703-8827
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Country | US
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Telephone | 701-818-9958
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Fax | 701-671-8133
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Authorized Official
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Title or Position | SPEECH LANGUAGE PATHOLOGIST
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Name | ASHLEY D GILSTAD
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Credential | M.S. CCC-SLP
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Telephone | 701-818-9958
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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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