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NPI 1427571090

NPI 1427571090 : GEDDES THERAPIES : SANDIA PARK, NM

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General NPI Number Information
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    NPI Number           |    1427571090
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    Entity Type          |    Organization 
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    Legal Business Name  |    GEDDES THERAPIES 
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Dates
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    Enumeration Date     |    07/25/2017
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    Last Update Date     |    12/23/2025
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Provider Practice Location Address
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    Address Line         |    23 PUNTA LINDA 
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    City                 |    SANDIA PARK
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    State                |    NM
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    Zip                  |    87047-9678
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    Country              |    US
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    Telephone            |    720-560-1017
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    23 PUNTA LINDA 
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    City                 |    SANDIA PARK
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    State                |    NM
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    Zip                  |    87047-9678
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    Country              |    US
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    Telephone            |    720-560-1017
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     ERIN K GEDDES 
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    Credential           |    MA, CCC-SLP
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    Telephone            |    720-560-1017
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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       |    0001166
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    License Number State |    CO
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