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General NPI Number Information
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NPI Number | 1376275180
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Entity Type | Organization
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Legal Business Name | RISE PEDIATRIC SPEECH THERAPY, PLLC
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Dates
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Enumeration Date | 06/29/2022
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Last Update Date | 08/07/2024
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Provider Practice Location Address
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Address Line | 3100 100TH ST
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City | URBANDALE
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State | IA
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Zip | 50322-3869
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Country | US
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Telephone | 515-207-9655
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Fax |
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Provider Business Mailing Address
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Address Line | 3100 100TH ST
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City | URBANDALE
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State | IA
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Zip | 50322-3869
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Country | US
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Telephone | 515-207-9655
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Fax |
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Authorized Official
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Title or Position | OWNER/SPEECH PATHOLOGIST
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Name | RACHEL HEMER
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Credential | MA CCC-SLP
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Telephone | 563-212-8990
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number |
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License Number State |
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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 |
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