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General NPI Number Information
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NPI Number | 1619398906
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Entity Type | Organization
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Legal Business Name | SPEAK TWO ME LLC
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Dates
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Enumeration Date | 01/03/2014
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Last Update Date | 10/20/2015
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Provider Practice Location Address
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Address Line | 640 GRAND AVE
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City | GRAND JUNCTION
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State | CO
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Zip | 81501-2738
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Country | US
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Telephone | 561-262-9124
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1993
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City | GRAND JUNCTION
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State | CO
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Zip | 81502-1993
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Country | US
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Telephone | 561-262-9124
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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 | MS. SHANON MARY MCINTYRE
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Credential | MS CCC-SLP
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Telephone | 561-262-9124
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 302F00000X
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Taxonomy Name | Exclusive Provider Organization
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License Number | 0001624
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License Number State | CO
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