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General NPI Number Information
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NPI Number | 1881410298
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Entity Type | Organization
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Legal Business Name | SPEECH MINDS, LLC
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Dates
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Enumeration Date | 12/02/2024
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Last Update Date | 12/02/2024
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Provider Practice Location Address
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Address Line | 459 S 100 E
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City | ANNABELLA
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State | UT
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Zip | 84711-7796
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Country | US
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Telephone | 435-255-1113
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 413
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City | ANNABELLA
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State | UT
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Zip | 84711-0413
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Country | US
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Telephone | 435-255-1113
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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 | MARISOL ROBINSON
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Credential | M.S., CCC
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Telephone | 435-255-1113
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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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