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General NPI Number Information
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NPI Number | 1487215059
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Entity Type | Organization
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Legal Business Name | RISE ABOVE SPEECH THERAPY LLC
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Dates
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Enumeration Date | 06/25/2019
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Last Update Date | 03/20/2025
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Provider Practice Location Address
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Address Line | 1940 HARVE AVE STE 2
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City | MISSOULA
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State | MT
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Zip | 59801-8344
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Country | US
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Telephone | 406-531-4954
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Fax | 406-258-0826
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Provider Business Mailing Address
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Address Line | 7012 JENAYA CT
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City | MISSOULA
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State | MT
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Zip | 59803-8507
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Country | US
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Telephone | 406-531-4954
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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 | JOSILYN JOY OVENELL
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Credential | M.S. CCC-SLP, CBIS
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Telephone | 406-531-4954
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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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