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General NPI Number Information
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NPI Number | 1407094972
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Entity Type | Organization
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Legal Business Name | DYNAMIC SPEECH AND SWALLOWING, LLC
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Dates
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Enumeration Date | 01/21/2009
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Last Update Date | 01/30/2012
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Provider Practice Location Address
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Address Line | 10496 E PINEWOOD AVE
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City | ENGLEWOOD
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State | CO
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Zip | 80111-5472
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Country | US
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Telephone | 303-694-8872
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Fax | 720-489-3874
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Provider Business Mailing Address
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Address Line | 10496 E PINEWOOD AVE
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City | ENGLEWOOD
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State | CO
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Zip | 80111-5472
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Country | US
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Telephone | 303-694-8872
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Fax | 720-489-3874
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Authorized Official
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Title or Position | SPEECH-LANGUAGE PATHOLOGIST/OWNER
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Name | MRS. HOLLY A SEGEL
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Credential | MA/CCC-SLP
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Telephone | 303-694-8872
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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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