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General NPI Number Information
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NPI Number | 1760788210
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Entity Type | Organization
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Legal Business Name | CARTER SWALLOWING CENTER, LLC
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Dates
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Enumeration Date | 02/01/2011
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Last Update Date | 10/28/2011
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Provider Practice Location Address
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Address Line | 3535 S LAFAYETTE ST SUITE 203
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City | ENGLEWOOD
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State | CO
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Zip | 80113-3957
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Country | US
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Telephone | 720-880-6232
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Fax | 303-865-3540
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Provider Business Mailing Address
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Address Line | 3535 S LAFAYETTE ST SUITE 203
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City | ENGLEWOOD
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State | CO
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Zip | 80113-3957
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Country | US
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Telephone | 720-880-6232
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Fax | 303-865-3540
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Authorized Official
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Title or Position | OWNER/CLINICIAN
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Name | JENNIFER H CARTER
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Credential | CCC-SLP
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Telephone | 303-619-9196
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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 | 01089115
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License Number State | CO
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