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General NPI Number Information
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NPI Number | 1336401405
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Entity Type | Organization
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Legal Business Name | ACHIEVEMENT THERAPY SERVICES LLC
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Dates
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Enumeration Date | 06/13/2012
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Last Update Date | 06/13/2012
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Provider Practice Location Address
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Address Line | 3157 SUPERIOR DR NW
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City | ROCHESTER
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State | MN
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Zip | 55901-1993
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Country | US
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Telephone | 507-226-8844
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Fax | 507-226-8846
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Provider Business Mailing Address
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Address Line | 3157 SUPERIOR DR NW
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City | ROCHESTER
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State | MN
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Zip | 55901-1993
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT/CHIEF MANAGER
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Name | JENNIFER LEUTHOLD
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Credential | M.S., CCC-SLP
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Telephone | 507-226-8844
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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 |
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