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General NPI Number Information
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NPI Number | 1568052322
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Entity Type | Organization
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Legal Business Name | KIDSPEAK, LLC
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Dates
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Enumeration Date | 01/25/2021
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Last Update Date | 05/14/2021
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Provider Practice Location Address
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Address Line | 23 ERIC NORD WAY STE 1
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City | OBERLIN
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State | OH
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Zip | 44074-1583
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Country | US
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Telephone | 440-340-1233
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Fax | 833-427-1421
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Provider Business Mailing Address
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Address Line | 23 ERIC NORD WAY STE 1
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City | OBERLIN
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State | OH
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Zip | 44074-1583
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Country | US
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Telephone | 440-340-1233
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Fax | 833-427-1421
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Authorized Official
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Title or Position | OWNER/CLINICIAN
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Name | LAURA ELAINE SLOCUM
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Credential | M.A., CCC-SLP
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Telephone | 614-668-7341
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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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