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General NPI Number Information
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NPI Number | 1447900337
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Entity Type | Organization
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Legal Business Name | SPEECH HAPPY, LLC
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Dates
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Enumeration Date | 03/24/2022
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Last Update Date | 03/24/2022
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Provider Practice Location Address
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Address Line | 2420 CAMERON DR
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City | RAPID CITY
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State | SD
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Zip | 57702-4253
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Country | US
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Telephone | 605-484-7800
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Fax |
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Provider Business Mailing Address
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Address Line | 2420 CAMERON DR
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City | RAPID CITY
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State | SD
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Zip | 57702-4253
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Country | US
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Telephone | 605-484-7800
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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 | KENDRA NICOLE THOMPSON
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Credential | CCC-SLP
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Telephone | 605-484-7800
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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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Taxonomy #2
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Taxonomy Code | 252Y00000X
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Taxonomy Name | Early Intervention Provider Agency
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License Number |
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License Number State |
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