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General NPI Number Information
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NPI Number | 1548827249
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Entity Type | Organization
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Legal Business Name | COMMUNICATION AND FEEDING SPECIALISTS LLC
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Dates
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Enumeration Date | 05/29/2019
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Last Update Date | 05/29/2019
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Provider Practice Location Address
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Address Line | 8707 W NORTH AVE
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City | WAUWATOSA
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State | WI
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Zip | 53226-2723
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Country | US
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Telephone | 414-208-0753
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Fax |
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Provider Business Mailing Address
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Address Line | 1354 N 65TH ST
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City | WAUWATOSA
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State | WI
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Zip | 53213-2972
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Country | US
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Telephone | 414-807-7512
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JORDAN BECK
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Credential |
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Telephone | 414-807-7512
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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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