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General NPI Number Information
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NPI Number | 1316094022
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Entity Type | Organization
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Legal Business Name | BGSU SPEECH AND HEARING CLINIC
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Dates
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Enumeration Date | 01/04/2007
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 200 HEALTH CTR BOWLING GREEN STATE UNIVERSITY
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City | BOWLING GREEN
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State | OH
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Zip | 43403-0149
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Country | US
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Telephone | 419-372-2515
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Fax | 419-372-8089
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Provider Business Mailing Address
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Address Line | 200 HEALTH CTR BGSU SPEECH AND HEARING CLINIC
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City | BOWLING GREEN
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State | OH
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Zip | 43403-0149
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Country | US
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Telephone | 419-372-2515
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Fax | 419-372-8089
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Authorized Official
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Title or Position | ASSOCIATE PROFESSOR AND CHAIR
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Name | DR. LARRY H SMALL
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Credential | PH.D.
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Telephone | 419-372-2515
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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 | OH
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Taxonomy #2
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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 | OH
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