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General NPI Number Information
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NPI Number | 1750680971
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Entity Type | Organization
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Legal Business Name | JRSPEECH
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Dates
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Enumeration Date | 03/28/2011
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Last Update Date | 07/18/2025
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Provider Practice Location Address
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Address Line | 343 DARROW AVE
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City | EVANSTON
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State | IL
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Zip | 60202-3246
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Country | US
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Telephone | 773-573-0651
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Fax | 855-940-3210
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Provider Business Mailing Address
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Address Line | 343 DARROW AVE
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City | EVANSTON
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State | IL
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Zip | 60202-3246
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Country | US
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Telephone | 773-573-0651
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Fax | 847-733-7616
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Authorized Official
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Title or Position | SPEECH PATHOLOGIST, PRESIDENT
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Name | MS. JULIE RUTH ROSS
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Credential | MA, C.C.C.
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Telephone | 773-573-0651
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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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 | 252Y00000X
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Taxonomy Name | Early Intervention Provider Agency
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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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