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General NPI Number Information
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NPI Number | 1770473621
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Entity Type | Organization
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Legal Business Name | AMY B'S SPEECH THERAPY, PLLC
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Dates
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Enumeration Date | 07/03/2025
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Last Update Date | 07/03/2025
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Provider Practice Location Address
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Address Line | 135 N MYRTLE AVE
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City | VILLA PARK
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State | IL
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Zip | 60181-2226
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Country | US
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Telephone | 708-815-7716
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Fax |
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Provider Business Mailing Address
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Address Line | 135 N MYRTLE AVE
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City | VILLA PARK
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State | IL
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Zip | 60181-2226
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Country | US
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Telephone | 708-815-7716
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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 | MS. AMY LEIGH BLUMSTEIN
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Credential | M.S., CCC-SLP
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Telephone | 708-815-7716
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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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