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General NPI Number Information
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NPI Number | 1467894717
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Entity Type | Individual
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Provider Name | LINDSEY NICOLE SPIVEY M.S. CF-SLP
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Gender | Female
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Dates
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Enumeration Date | 07/26/2013
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Last Update Date | 07/26/2013
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Provider Practice Location Address
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Address Line | 11279 W GRIER RD
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City | MARANA
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State | AZ
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Zip | 85653-9609
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Country | US
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Telephone | 928-533-9143
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Fax |
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Provider Business Mailing Address
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Address Line | 7606 N SULTAN PL
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City | TUCSON
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State | AZ
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Zip | 85704-1347
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Country | US
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Telephone | 928-533-9143
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | TSLP8347
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License Number State | AZ
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