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General NPI Number Information
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NPI Number | 1558984153
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Entity Type | Organization
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Legal Business Name | PLAY ON WORDS PEDIATRIC SPEECH THERAPY, LLC
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Dates
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Enumeration Date | 05/19/2020
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Last Update Date | 05/21/2020
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Provider Practice Location Address
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Address Line | 5816 KENAWEE ST
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City | BEL AIRE
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State | KS
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Zip | 67220-1878
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Country | US
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Telephone | 316-409-3771
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Fax | 316-330-3747
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Provider Business Mailing Address
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Address Line | 5816 KENAWEE ST
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City | BEL AIRE
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State | KS
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Zip | 67220-1878
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Country | US
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Telephone | 316-409-3771
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Fax | 316-330-3747
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Authorized Official
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Title or Position | SLP
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Name | MRS. CORI LYNN MOSIMAN
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Credential | MA, CCC-SLP
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Telephone | 316-409-3771
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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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