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General NPI Number Information
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NPI Number | 1013417260
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Entity Type | Individual
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Provider Name | LAURIE STRUEBY MS CCC SLP
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Gender | Female
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Dates
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Enumeration Date | 02/14/2018
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Last Update Date | 10/31/2022
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Provider Practice Location Address
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Address Line | 9240 COUNTY VIEW RD
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City | DALLAS
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State | TX
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Zip | 75249-1124
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Country | US
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Telephone | 972-708-2060
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Fax |
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Provider Business Mailing Address
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Address Line | 1222 BROOKVALLEY DR
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City | ARLINGTON
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State | TX
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Zip | 76018-2960
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Country | US
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Telephone | 817-487-2515
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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 | 251E00000X
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Taxonomy Name | Home Health Agency
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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 | 15173
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License Number State | TX
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