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General NPI Number Information
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NPI Number | 1750167755
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Entity Type | Organization
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Legal Business Name | FACE TO FACE COMMUNICATION, LLC
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Dates
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Enumeration Date | 09/05/2023
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Last Update Date | 09/05/2023
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Provider Practice Location Address
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Address Line | 536 20 1/4 RD
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City | GRAND JUNCTION
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State | CO
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Zip | 81507-9780
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Country | US
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Telephone | 970-250-0579
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Fax |
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Provider Business Mailing Address
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Address Line | 536 20 1/4 RD
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City | GRAND JUNCTION
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State | CO
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Zip | 81507-9780
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Country | US
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Telephone | 970-250-0579
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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 | MILTON BRET MIXON
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Credential | BCBA, CCC-SLP
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Telephone | 970-250-0579
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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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 | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State |
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Taxonomy #3
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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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