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General NPI Number Information
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NPI Number | 1003182247
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Entity Type | Individual
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Provider Name | DARREN SPEED M.S. CCC-SLP
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Gender | Male
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Dates
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Enumeration Date | 03/30/2012
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Last Update Date | 03/30/2012
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Provider Practice Location Address
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Address Line | 6309 PINEHURST DR
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City | NORTH RICHLAND HILLS
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State | TX
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Zip | 76180-0827
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Country | US
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Telephone | 817-422-1413
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Fax | 817-656-5933
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Provider Business Mailing Address
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Address Line | 6309 PINEHURST DR
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City | NORTH RICHLAND HILLS
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State | TX
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Zip | 76180-0827
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Country | US
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Telephone | 817-422-1413
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Fax | 817-656-5933
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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 | 102366
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License Number State | TX
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