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General NPI Number Information
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NPI Number | 1487455804
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Entity Type | Organization
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Legal Business Name | BLUE BIRD SPEECH THERAPY
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Dates
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Enumeration Date | 03/21/2025
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Last Update Date | 03/21/2025
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Provider Practice Location Address
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Address Line | 222 W 6TH ST
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City | JUNCTION CITY
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State | KS
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Zip | 66441-5500
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Country | US
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Telephone | 785-307-1289
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Fax |
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Provider Business Mailing Address
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Address Line | 1302 SUMMIT ST
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City | JUNCTION CITY
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State | KS
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Zip | 66441-4031
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Country | US
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Telephone | 785-307-1289
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Fax |
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Authorized Official
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Title or Position | CO-OWNER/SLP
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Name | MRS. MEGAN WOODS
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Credential | M.S., CCC-SLP
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Telephone | 785-307-1289
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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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