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General NPI Number Information
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NPI Number | 1811582430
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Entity Type | Organization
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Legal Business Name | FUNCTIONAL SPEECH THERAPY CO.
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Dates
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Enumeration Date | 03/05/2021
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Last Update Date | 03/05/2021
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Provider Practice Location Address
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Address Line | 1238 REGENT DR
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City | MUNDELEIN
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State | IL
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Zip | 60060-2062
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Country | US
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Telephone | 224-392-8707
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Fax |
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Provider Business Mailing Address
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Address Line | 1238 REGENT DR
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City | MUNDELEIN
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State | IL
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Zip | 60060-2062
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Country | US
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Telephone | 224-392-8707
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Fax |
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Authorized Official
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Title or Position | SPEECH THERAPY
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Name | MRS. MARIANA POLISTCHUK
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Credential | M.S. CCC-SLP
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Telephone | 224-392-8707
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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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