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General NPI Number Information
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NPI Number | 1477176261
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Entity Type | Organization
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Legal Business Name | EFFECTIVE SPEECH THERAPY
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Dates
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Enumeration Date | 05/27/2020
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Last Update Date | 05/27/2020
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Provider Practice Location Address
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Address Line | 25727 LAURA LN
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City | WESTLAKE
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State | OH
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Zip | 44145-4757
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Country | US
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Telephone | 440-502-7667
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Fax |
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Provider Business Mailing Address
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Address Line | 25727 LAURA LN
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City | WESTLAKE
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State | OH
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Zip | 44145-4757
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Country | US
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Telephone | 440-502-7667
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Fax |
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Authorized Official
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Title or Position | SPEECH-LANGUAGE PATHOLOGIST, OWNER
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Name | NICOLE SAUER
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Credential | CCC-SLP
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Telephone | 440-502-7667
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0700X
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Taxonomy Name | Hearing and Speech Clinic/Center
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License Number |
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License Number State |
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