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General NPI Number Information
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NPI Number | 1679418545
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Entity Type | Organization
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Legal Business Name | RACHEL M WYNN LLC
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Dates
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Enumeration Date | 04/20/2026
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Last Update Date | 04/20/2026
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Provider Practice Location Address
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Address Line | 3150 REDSTONE LN
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City | BOULDER
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State | CO
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Zip | 80305-7170
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Country | US
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Telephone | 720-282-9643
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Fax |
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Provider Business Mailing Address
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Address Line | 2525 ARAPAHOE AVE STE E4 #1242
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City | BOULDER
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State | CO
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Zip | 80302
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Country | US
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Telephone | 720-282-9643
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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 | RACHEL M WYNN
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Credential | MS CCC-SLP
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Telephone | 720-282-9643
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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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