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General NPI Number Information
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NPI Number | 1376279125
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Entity Type | Organization
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Legal Business Name | CONNECTION FIRST SPEECH THERAPY LLC
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Dates
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Enumeration Date | 07/25/2022
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Last Update Date | 07/25/2022
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Provider Practice Location Address
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Address Line | 6 GREENBRIAR LN
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City | CHESTER
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State | IL
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Zip | 62233-1411
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Country | US
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Telephone | 618-615-3156
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Fax |
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Provider Business Mailing Address
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Address Line | 6 GREENBRIAR LN
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City | CHESTER
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State | IL
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Zip | 62233-1411
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Country | US
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Telephone | 618-615-3156
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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 | ASHLEY S EGGEMEYER
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Credential | MS CCC SLP/L
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Telephone | 618-615-3156
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0700X
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Taxonomy Name | Hearing and Speech Clinic/Center
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License Number |
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License Number State |
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