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General NPI Number Information
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NPI Number | 1841549946
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Entity Type | Individual
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Provider Name | CARRIE DISHLIP CCC-SLP
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Gender | Female
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Dates
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Enumeration Date | 09/05/2012
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Last Update Date | 10/12/2021
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Provider Practice Location Address
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Address Line | 6911 S YOSEMITE ST
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City | CENTENNIAL
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State | CO
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Zip | 80112-1426
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Country | US
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Telephone | 303-221-7827
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Fax |
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Provider Business Mailing Address
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Address Line | 6874 S BROADWAY
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City | CENTENNIAL
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State | CO
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Zip | 80122-1010
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Country | US
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Telephone | 310-463-3585
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | SLP.0000683
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License Number State | CO
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