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General NPI Number Information
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NPI Number | 1528865896
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Entity Type | Organization
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Legal Business Name | SOUTHWEST DYSPHAGIA SOLUTIONS, PROFESSIONAL CORPORATION
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Dates
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Enumeration Date | 02/25/2025
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Last Update Date | 04/30/2025
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Provider Practice Location Address
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Address Line | 316 S 2450 E APT 31
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City | ST GEORGE
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State | UT
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Zip | 84790-2552
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Country | US
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Telephone | 801-682-9800
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Fax |
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Provider Business Mailing Address
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Address Line | 316 S 2450 E APT 31
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City | ST GEORGE
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State | UT
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Zip | 84790-2552
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Country | US
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Telephone | 801-682-9800
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Fax |
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Authorized Official
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Title or Position | CEO/SLP
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Name | JODI WINN
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Credential | SLP
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Telephone | 801-682-9800
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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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Taxonomy #2
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Taxonomy Code | 261QE0800X
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Taxonomy Name | Endoscopy Clinic/Center
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License Number |
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License Number State |
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