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General NPI Number Information
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NPI Number | 1679293740
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Entity Type | Organization
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Legal Business Name | PATHWAYS SPEECH THERAPY, PLLC
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Dates
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Enumeration Date | 08/30/2022
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Last Update Date | 10/02/2023
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Provider Practice Location Address
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Address Line | 3430 RAPALA DR
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City | HELENA
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State | MT
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Zip | 59602-8549
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Country | US
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Telephone | 406-422-9633
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Fax |
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Provider Business Mailing Address
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Address Line | 3430 RAPALA DR
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City | HELENA
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State | MT
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Zip | 59602-8549
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Country | US
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Telephone | 406-422-9633
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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 | JENNIFER L RECTOR
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Credential | MS, CCC-SLP
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Telephone | 406-422-9633
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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Taxonomy #2
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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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