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General NPI Number Information
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NPI Number | 1720732167
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Entity Type | Organization
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Legal Business Name | LAURA M FRYE HELP4DYSLEXIAKC
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Dates
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Enumeration Date | 02/04/2022
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Last Update Date | 02/04/2022
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Provider Practice Location Address
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Address Line | 3321 SW KESSLER DR
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City | LEES SUMMIT
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State | MO
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Zip | 64081-2268
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Country | US
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Telephone | 816-838-5833
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Fax |
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Provider Business Mailing Address
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Address Line | 3321 SW KESSLER DR UNIT 7207
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City | LEES SUMMIT
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State | MO
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Zip | 64081-2281
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Country | US
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Telephone | 816-838-5833
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | LAURA MARIE FRYE
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Credential | SLP
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Telephone | 816-838-5833
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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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