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General NPI Number Information
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NPI Number | 1013475797
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Entity Type | Individual
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Provider Name | STEPHANIE BRYE UENG MS CCC-SLP
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Gender | Female
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Dates
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Enumeration Date | 03/12/2019
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Last Update Date | 01/10/2024
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Provider Practice Location Address
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Address Line | 4500 MEDICAL CENTER DR
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City | MCKINNEY
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State | TX
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Zip | 75069-1650
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Country | US
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Telephone | 972-547-8000
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Fax |
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Provider Business Mailing Address
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Address Line | 2320 WINDY DR
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City | GARLAND
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State | TX
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Zip | 75044-7554
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Country | US
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Telephone | 214-681-6298
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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 | 115356
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License Number State | TX
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