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General NPI Number Information
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NPI Number | 1447147087
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Entity Type | Organization
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Legal Business Name | NEURO COMM CONNECTIONS LLC
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Dates
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Enumeration Date | 06/18/2025
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Last Update Date | 06/18/2025
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Provider Practice Location Address
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Address Line | 600 LUBBUCK CT
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City | MOSCOW MILLS
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State | MO
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Zip | 63362-0411
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Country | US
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Telephone | 636-344-0898
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Fax |
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Provider Business Mailing Address
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Address Line | 600 LUBBUCK CT
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City | MOSCOW MILLS
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State | MO
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Zip | 63362-0411
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Country | US
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Telephone | 636-344-0898
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | HANNAH OTTOSEN
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Credential |
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Telephone | 636-344-0898
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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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