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General NPI Number Information
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NPI Number | 1992953871
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Entity Type | Organization
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Legal Business Name | KID'S FIRST WORDS, LLC
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Dates
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Enumeration Date | 09/03/2008
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Last Update Date | 09/03/2008
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Provider Practice Location Address
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Address Line | 11122 QUAIL DR
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City | MOKENA
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State | IL
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Zip | 60448-8290
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Country | US
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Telephone | 708-466-5472
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Fax | 708-995-5239
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Provider Business Mailing Address
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Address Line | 11122 QUAIL DR
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City | MOKENA
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State | IL
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Zip | 60448-8290
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Country | US
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Telephone | 708-466-5472
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Fax | 708-995-5239
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Authorized Official
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Title or Position | SPEECH-LANGUAGE PATHOLOGIST
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Name | MRS. LISA MARIE GARRIGAN
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Credential | M.H.S., C.C.C.-SLP
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Telephone | 708-466-5472
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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 | 146008897
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License Number State | IL
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