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General NPI Number Information
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NPI Number | 1265294599
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Entity Type | Organization
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Legal Business Name | FULL CIRCLE SPEECH, LLC
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Dates
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Enumeration Date | 01/23/2024
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Last Update Date | 01/23/2024
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Provider Practice Location Address
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Address Line | 14625 SARATOGA ST
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City | OMAHA
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State | NE
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Zip | 68116-6633
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Country | US
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Telephone | 402-649-3295
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Fax |
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Provider Business Mailing Address
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Address Line | 200 S 21ST ST STE 400A
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City | LINCOLN
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State | NE
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Zip | 68510-1044
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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 | SPEECH-LANGUAGE PATHOLOGIST
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Name | PAIGE ARLT
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Credential |
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Telephone | 402-649-3295
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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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