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General NPI Number Information
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NPI Number | 1447427349
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Entity Type | Organization
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Legal Business Name | CHATTERBOX SPEECH & LANGUAGE CENTER
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Dates
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Enumeration Date | 05/11/2008
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Last Update Date | 05/11/2008
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Provider Practice Location Address
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Address Line | 1833 MILLENIUM WAY STE 100
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City | MERIDIAN
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State | ID
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Zip | 83642-1510
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Country | US
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Telephone | 208-921-9314
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Fax |
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Provider Business Mailing Address
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Address Line | 1833 MILLENIUM WAY STE 100
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City | MERIDIAN
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State | ID
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Zip | 83642-1510
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Country | US
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Telephone | 208-921-9314
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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 | MS. KIRSTEN GRIDER
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Credential | MS CCC-SLP
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Telephone | 208-921-9314
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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 | SLP-1413
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License Number State | ID
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