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General NPI Number Information
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NPI Number | 1962348979
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Entity Type | Individual
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Provider Name | AMANDA LEE BIGAOUETTE M.S. CCC-SLP
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Gender | Female
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Dates
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Enumeration Date | 04/24/2026
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Last Update Date | 04/24/2026
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Provider Practice Location Address
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Address Line | 100 GEORGE RAMSETH DR
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City | REDWOOD FALLS
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State | MN
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Zip | 56283-1939
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Country | US
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Telephone | 507-644-3531
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Fax |
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Provider Business Mailing Address
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Address Line | 2769 LOCHLAND HILLS DR
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City | MARSHALL
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State | MN
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Zip | 56258-8000
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Country | US
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Telephone | 507-829-1797
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 14521249
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License Number State | MN
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