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General NPI Number Information
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NPI Number | 1992687529
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Entity Type | Organization
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Legal Business Name | SPEAK EASY ONLINE
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Dates
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Enumeration Date | 07/24/2025
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Last Update Date | 07/24/2025
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Provider Practice Location Address
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Address Line | 5202 MCCLELLAND BLVD
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City | JOPLIN
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State | MO
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Zip | 65804
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Country | US
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Telephone | 417-781-4552
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Fax | 417-777-7017
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Provider Business Mailing Address
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Address Line | PO BOX 62
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City | BOLIVAR
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State | MO
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Zip | 65613-0062
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Country | US
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Telephone | 417-781-4552
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Fax | 417-777-7017
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Authorized Official
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Title or Position | OWNER
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Name | GAIL ROBERSON-FATINO
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Credential | LPC
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Telephone | 417-781-4552
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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