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General NPI Number Information
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NPI Number | 1336719590
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Entity Type | Organization
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Legal Business Name | RICKMAN SPEECH AND LANGUAGE LLC
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Dates
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Enumeration Date | 06/30/2021
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Last Update Date | 06/30/2021
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Provider Practice Location Address
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Address Line | 140 S WALNUT ST
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City | DEXTER
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State | MO
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Zip | 63841-2142
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Country | US
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Telephone | 573-820-2144
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Fax | 888-958-3639
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Provider Business Mailing Address
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Address Line | 10864 COUNTY ROAD 633
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City | DEXTER
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State | MO
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Zip | 63841-9129
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Country | US
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Telephone | 573-820-2144
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Fax |
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Authorized Official
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Title or Position | OWNER, SPEECH LANGUAGE PATHOLOGIST
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Name | ROBIN RICKMAN
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Credential | M.A., CCC-SLP
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Telephone | 573-820-2144
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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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