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General NPI Number Information
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NPI Number | 1730781964
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Entity Type | Organization
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Legal Business Name | SUNFLOWER SPEECH
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Dates
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Enumeration Date | 11/12/2020
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Last Update Date | 01/12/2022
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Provider Practice Location Address
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Address Line | 8012 W LONG DR UNIT 221
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City | LITTLETON
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State | CO
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Zip | 80123-1226
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Country | US
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Telephone | 631-707-1161
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Fax |
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Provider Business Mailing Address
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Address Line | 8012 W LONG DR UNIT 221
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City | LITTLETON
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State | CO
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Zip | 80123-1226
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Country | US
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Telephone | 631-707-1161
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Fax |
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Authorized Official
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Title or Position | OWNER/ SPEECH LANGUAGE PATHOLOGIST
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Name | KIMBERLY ATKINS
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Credential | CCC-SLP
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Telephone | 631-707-1611
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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 |
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License Number State |
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