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General NPI Number Information
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NPI Number | 1285296764
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Entity Type | Organization
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Legal Business Name | SPEECH AND SWALLOWING SPECIALISTS OF KANSAS CITY LLC
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Dates
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Enumeration Date | 07/03/2019
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Last Update Date | 07/03/2019
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Provider Practice Location Address
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Address Line | 6711 OAK ST
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City | KANSAS CITY
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State | MO
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Zip | 64113-2442
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Country | US
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Telephone | 913-484-2583
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Fax |
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Provider Business Mailing Address
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Address Line | 6711 OAK ST
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City | KANSAS CITY
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State | MO
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Zip | 64113-2442
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Country | US
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Telephone | 913-484-2583
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Fax |
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Authorized Official
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Title or Position | SPEECH LANGUAGE PATHOLOGIST, OWNER
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Name | MRS. JENNIFER MARIE HURST
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Credential | MS CCC-SLP
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Telephone | 913-484-2583
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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