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General NPI Number Information
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NPI Number | 1649287327
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Entity Type | Organization
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Legal Business Name | MILEMARKERS THERAPY INC
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Dates
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Enumeration Date | 08/02/2006
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Last Update Date | 11/13/2025
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Provider Practice Location Address
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Address Line | 5601 HIGHWAY 95 N STE 308C
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City | LAKE HAVASU CITY
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State | AZ
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Zip | 86404-8546
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Country | US
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Telephone | 928-854-5439
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Fax | 928-854-5440
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Provider Business Mailing Address
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Address Line | 5601 HIGHWAY 95 N STE 308C
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City | LAKE HAVASU CITY
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State | AZ
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Zip | 86404-8546
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Country | US
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Telephone | 928-854-5439
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Fax | 928-854-5440
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Authorized Official
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Title or Position | SPEECH LANGUAGE PATHOLOGIST
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Name | COLLEEN LYNN MCSHEA
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Credential | MS CCC-SLP
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Telephone | 928-854-5439
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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 | SLP4317
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License Number State | AZ
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