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General NPI Number Information
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NPI Number | 1295503134
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Entity Type | Organization
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Legal Business Name | WARRIOR AUDITORY PROCESSING THERAPY, LLC
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Dates
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Enumeration Date | 12/19/2023
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Last Update Date | 12/19/2023
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Provider Practice Location Address
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Address Line | 1103 S US HIGHWAY 169 STE F
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City | SMITHVILLE
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State | MO
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Zip | 64089-9331
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Country | US
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Telephone | 816-592-3575
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Fax | 816-281-9362
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Provider Business Mailing Address
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Address Line | PO BOX 345
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City | SMITHVILLE
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State | MO
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Zip | 64089-0345
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Country | US
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Telephone | 816-592-3575
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Fax | 816-281-9362
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Authorized Official
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Title or Position | MEMBER/OWNER
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Name | JANICE LEIGH RICHBOURG
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Credential | AU.D., CCC/A
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Telephone | 816-592-3575
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 231H00000X
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Taxonomy Name | Audiologist
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License Number |
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License Number State |
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