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General NPI Number Information
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NPI Number | 1861349433
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Entity Type | Individual
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Provider Name | SUSAN WILLIAMS MS, CCC-SLP
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Gender | Female
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Dates
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Enumeration Date | 03/12/2026
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Last Update Date | 03/12/2026
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Provider Practice Location Address
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Address Line | 1450 W 169TH AVE
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City | BROOMFIELD
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State | CO
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Zip | 80023-6697
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Country | US
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Telephone | 303-656-3738
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Fax |
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Provider Business Mailing Address
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Address Line | 1335 STRASSNER DR
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City | SAINT LOUIS
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State | MO
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Zip | 63144-1872
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Country | US
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Telephone | 844-502-7996
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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.0006611
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License Number State | CO
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