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General NPI Number Information
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NPI Number | 1952726887
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Entity Type | Organization
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Legal Business Name | THE SPEECH HOUSE, LLC
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Dates
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Enumeration Date | 03/01/2014
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Last Update Date | 01/31/2022
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Provider Practice Location Address
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Address Line | 690 MISSOURI AVE STE 11
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City | SAINT ROBERT
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State | MO
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Zip | 65584-4680
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Country | US
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Telephone | 573-336-1970
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Fax | 573-365-7143
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Provider Business Mailing Address
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Address Line | PO BOX 1666
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City | LAKE OZARK
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State | MO
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Zip | 65049-1666
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Country | US
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Telephone | 573-434-6699
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Fax | 573-693-9492
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Authorized Official
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Title or Position | OWNER
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Name | CRYSTAL BUEHRE
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Credential | MS CCC-SLP
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Telephone | 573-434-6699
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 2008023536
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License Number State | MO
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