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General NPI Number Information
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NPI Number | 1730491978
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Entity Type | Organization
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Legal Business Name | NORTHERN COLORADO SPEECH THERAPY, LLC
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Dates
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Enumeration Date | 07/03/2010
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Last Update Date | 06/25/2019
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Provider Practice Location Address
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Address Line | 1748 TOPAZ DR
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City | LOVELAND
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State | CO
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Zip | 80537-5000
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Country | US
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Telephone | 970-702-2998
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Fax | 970-549-2514
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Provider Business Mailing Address
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Address Line | 1748 TOPAZ DR
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City | LOVELAND
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State | CO
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Zip | 80537-5000
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Country | US
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Telephone | 970-800-3287
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Fax | 970-549-2514
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Authorized Official
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Title or Position | OWNER
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Name | SARA WILLIAMS
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Credential | MS
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Telephone | 970-430-9997
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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 | CO
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