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General NPI Number Information
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NPI Number | 1871017780
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Entity Type | Organization
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Legal Business Name | AMY BLACK-RYEL SPEECH THERAPY
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Dates
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Enumeration Date | 08/01/2017
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Last Update Date | 11/13/2024
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Provider Practice Location Address
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Address Line | 27292 E OTERO PL
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City | AURORA
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State | CO
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Zip | 80016-2554
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Country | US
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Telephone | 303-378-7813
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Fax | 720-324-4902
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Provider Business Mailing Address
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Address Line | 27292 E OTERO PL
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City | AURORA
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State | CO
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Zip | 80016-2554
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Country | US
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Telephone | 303-378-7813
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Fax | 720-324-4902
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Authorized Official
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Title or Position | SLP
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Name | AMY BLACK-RYEL
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Credential |
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Telephone | 303-378-5125
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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 | 0001505
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License Number State | CO
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