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General NPI Number Information
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NPI Number | 1598222713
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Entity Type | Organization
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Legal Business Name | SALMON SPEECH AND SWALLOWING SERVICE
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Dates
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Enumeration Date | 02/24/2019
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Last Update Date | 03/14/2025
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Provider Practice Location Address
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Address Line | 909 SHOUP ST STE 1
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City | SALMON
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State | ID
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Zip | 83467-4306
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Country | US
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Telephone | 208-244-2547
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Fax | 208-756-2354
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Provider Business Mailing Address
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Address Line | 516 MAIN ST # 368
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City | SALMON
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State | ID
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Zip | 83467-4219
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Country | US
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Telephone | 208-244-2547
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Fax | 208-561-8382
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Authorized Official
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Title or Position | SPEECH-LANGUAGE PATHOLOGIST
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Name | ANNA SCHROEDER
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Credential | M.S., CCC-SLP
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Telephone | 208-244-2547
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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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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