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General NPI Number Information
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NPI Number | 1265345797
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Entity Type | Individual
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Provider Name | ZACHARY REID CF SLP
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Gender | Male
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Dates
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Enumeration Date | 09/25/2026
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Last Update Date | 09/25/2026
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Provider Practice Location Address
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Address Line | 1860 NW 18TH ST #100
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City | CLIVE
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State | IA
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Zip | 50235
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Country | US
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Telephone | 888-228-8476
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Fax |
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Provider Business Mailing Address
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Address Line | 1245 SE UNIVERSITY AVE APT 203
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City | WAUKEE
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State | IA
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Zip | 50263-8739
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Country | US
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Telephone | 515-421-2995
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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 | 140903
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License Number State | IA
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