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General NPI Number Information
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NPI Number | 1477292670
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Entity Type | Organization
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Legal Business Name | TALK IT UP THERAPY SERVICES, LLC
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Dates
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Enumeration Date | 06/03/2022
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Last Update Date | 06/03/2022
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Provider Practice Location Address
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Address Line | 18510 E SAN TAN BLVD STE 111
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City | QUEEN CREEK
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State | AZ
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Zip | 85142-2206
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Country | US
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Telephone | 602-434-7206
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Fax |
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Provider Business Mailing Address
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Address Line | 81 E PASO FINO WAY
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City | SAN TAN VALLEY
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State | AZ
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Zip | 85143-6121
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Country | US
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Telephone | 661-992-5184
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Fax |
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Authorized Official
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Title or Position | OWNER/SPEECH-LANGUAGE PATHOLOGIST
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Name | MEGAN THOMPSON
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Credential | M.S. CCC-SLP
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Telephone | 602-434-7206
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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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