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General NPI Number Information
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NPI Number | 1871230649
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Entity Type | Organization
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Legal Business Name | THE SPEECH LAB LLC
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Dates
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Enumeration Date | 05/13/2022
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Last Update Date | 05/07/2024
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Provider Practice Location Address
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Address Line | 101 S WASHINGTON ST
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City | MEXICO
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State | MO
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Zip | 65265-2730
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Country | US
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Telephone | 573-473-2394
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Fax | 573-519-5307
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Provider Business Mailing Address
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Address Line | 2434 SOUTHERN HLS
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City | MEXICO
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State | MO
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Zip | 65265-1663
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Country | US
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Telephone | 573-473-2394
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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 | LOREN LITTRELL FINCK
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Credential | CCC-SLP
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Telephone | 573-473-2394
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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 |
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License Number State |
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