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General NPI Number Information
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NPI Number | 1427660570
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Entity Type | Organization
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Legal Business Name | LIVE THE DREAM SPEECH AND LANGUAGE LLC
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Dates
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Enumeration Date | 08/20/2020
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Last Update Date | 08/27/2020
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Provider Practice Location Address
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Address Line | 1801 BASSETT ST APT 1-409
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City | DENVER
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State | CO
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Zip | 80202-1011
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Country | US
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Telephone | 720-255-5099
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Fax |
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Provider Business Mailing Address
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Address Line | 1801 BASSETT ST APT 409
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City | DENVER
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State | CO
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Zip | 80202-1014
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Country | US
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Telephone | 720-255-5099
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Fax |
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Authorized Official
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Title or Position | SPEECH LANGUAGE PATHOLOGIST
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Name | MEAGHAN C MCGANN
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Credential | M.S. CCC-SLP
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Telephone | 720-255-5099
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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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