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General NPI Number Information
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NPI Number | 1548712789
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Entity Type | Organization
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Legal Business Name | KANSAS CITY SPEECH PROFESSIONALS LLC
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Dates
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Enumeration Date | 11/03/2016
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Last Update Date | 02/09/2017
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Provider Practice Location Address
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Address Line | 7301 MISSION RD SUITE 132
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City | PRAIRIE VILLAGE
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State | KS
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Zip | 66208-3006
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Country | US
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Telephone | 913-890-3757
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Fax |
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Provider Business Mailing Address
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Address Line | 7301 MISSION RD SUITE 132
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City | PRAIRIE VILLAGE
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State | KS
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Zip | 66208-3006
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Country | US
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Telephone | 913-890-3757
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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 | AMY BURNS
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Credential | MA, CCC-SLP
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Telephone | 913-609-9481
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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 | 3529
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License Number State | KS
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