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General NPI Number Information
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NPI Number | 1487464467
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Entity Type | Organization
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Legal Business Name | SPEECH THERAPY SERVICES LLC
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Dates
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Enumeration Date | 01/10/2025
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Last Update Date | 01/10/2025
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Provider Practice Location Address
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Address Line | 3520 NEW HARTFORD RD STE 305
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City | OWENSBORO
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State | KY
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Zip | 42303-4636
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Country | US
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Telephone | 270-240-3680
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Fax | 270-240-3681
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Provider Business Mailing Address
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Address Line | 2509 MIDDLEGROUND DR
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City | OWENSBORO
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State | KY
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Zip | 42301-4109
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Country | US
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Telephone | 270-316-3506
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Fax |
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Authorized Official
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Title or Position | SLP
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Name | AMBER ELIZABETH BOARMAN
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Credential | SLP, MS, CCC
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Telephone | 270-316-3506
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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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