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General NPI Number Information
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NPI Number | 1396585469
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Entity Type | Organization
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Legal Business Name | SPOKEN MINDZ LLC
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Dates
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Enumeration Date | 05/28/2024
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Last Update Date | 05/28/2024
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Provider Practice Location Address
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Address Line | 1901 VETERANS MEMORIAL DRIVE
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City | TEMPLE
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State | TX
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Zip | 76504
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Country | US
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Telephone | 720-588-2745
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Fax | 720-588-2746
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Provider Business Mailing Address
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Address Line | 1312 17TH ST # 472
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City | DENVER
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State | CO
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Zip | 80202-1508
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Country | US
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Telephone | 720-588-2745
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Fax | 720-588-2746
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Authorized Official
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Title or Position | OWNER
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Name | MRS. HEATHER LEE VAN METER
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Credential | MS CCC SLP
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Telephone | 720-588-2745
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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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