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General NPI Number Information
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NPI Number | 1861383424
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Entity Type | Organization
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Legal Business Name | BIRTH. BREATH. CONNECT. LLC
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Dates
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Enumeration Date | 07/11/2025
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Last Update Date | 07/11/2025
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Provider Practice Location Address
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Address Line | 310A GOLD STREET
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City | BUENA VISTA
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State | CO
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Zip | 81211
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Country | US
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Telephone | 651-983-3999
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 206
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City | BUENA VISTA
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State | CO
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Zip | 81211-0206
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Country | US
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Telephone | 651-983-3999
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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 | NICOLE MARIE SCHAD
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Credential | M.A. CCC-SLP
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Telephone | 651-983-3999
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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 |
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License Number State |
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