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General NPI Number Information
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NPI Number | 1821308024
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Entity Type | Organization
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Legal Business Name | SPEECH CARE ASSOCIATES, LLC
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Dates
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Enumeration Date | 10/21/2010
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Last Update Date | 10/21/2010
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Provider Practice Location Address
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Address Line | 1320 N 113TH COURT 4509
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City | OMAHA
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State | NE
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Zip | 68154
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Country | US
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Telephone | 402-898-3950
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Fax |
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Provider Business Mailing Address
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Address Line | 1320 N 113TH COURT 4509
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City | OMAHA
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State | NE
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Zip | 68154
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Country | US
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Telephone | 402-898-3950
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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. KJERSTIN LYNN AMAN
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Credential | M.S., CCC-SLP
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Telephone | 402-898-3950
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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 | 1305
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License Number State | NE
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