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General NPI Number Information
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NPI Number | 1306740139
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Entity Type | Organization
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Legal Business Name | PLAY-ON THERAPY
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Dates
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Enumeration Date | 10/05/2026
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Last Update Date | 10/05/2026
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Provider Practice Location Address
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Address Line | 22952 E IVANHOE ST
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City | MESA
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State | AZ
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Zip | 85212-8897
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Country | US
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Telephone | 480-252-4651
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Fax |
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Provider Business Mailing Address
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Address Line | 22952 E IVANHOE ST
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City | MESA
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State | AZ
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Zip | 85212-8897
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Country | US
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Telephone | 480-252-4651
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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 | MRS. SHANNON LYNN BISHOP
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Credential | MS CCC-SLP
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Telephone | 480-252-4651
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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 | NULL
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