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General NPI Number Information
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NPI Number | 1548627771
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Entity Type | Individual
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Provider Name | MALLORY PACE
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Gender | Female
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Dates
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Enumeration Date | 01/19/2016
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Last Update Date | 07/01/2020
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Provider Practice Location Address
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Address Line | 7020 NW 160TH ST.
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City | EDMOND
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State | OK
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Zip | 73013
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Country | US
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Telephone | 518-477-0263
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Fax |
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Provider Business Mailing Address
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Address Line | 1451 24TH ST APT 504
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City | DENVER
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State | CO
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Zip | 80205-2193
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Country | US
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Telephone | 518-477-0263
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 4469
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License Number State | OK
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