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General NPI Number Information
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NPI Number | 1043686017
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Entity Type | Organization
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Legal Business Name | COMKEY THERAPY, PLLC
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Dates
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Enumeration Date | 08/13/2015
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Last Update Date | 08/13/2015
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Provider Practice Location Address
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Address Line | 4222 ROSEHILL RD SUITE 10
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City | GARLAND
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State | TX
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Zip | 75043-2503
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Country | US
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Telephone | 800-994-1031
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Fax | 888-755-0789
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Provider Business Mailing Address
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Address Line | PO BOX 494563
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City | GARLAND
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State | TX
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Zip | 75049-4563
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Country | US
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Telephone | 800-994-1031
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Fax | 888-755-0789
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Authorized Official
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Title or Position | SPEECH LANGUAGE PATHOLOGIST
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Name | MRS. CARLA C CLARK
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Credential | MS CCC-SLP
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Telephone | 800-994-1031
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 2251P0200X
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Taxonomy Name | Pediatric Physical Therapist
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License Number |
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 225A00000X
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Taxonomy Name | Music Therapist
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License Number |
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License Number State | TX
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Taxonomy #4
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Taxonomy Code | 225XP0200X
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Taxonomy Name | Pediatric Occupational Therapist
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License Number |
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License Number State | TX
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Taxonomy #5
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number |
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License Number State | TX
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Taxonomy #6
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Taxonomy Code | 252Y00000X
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Taxonomy Name | Early Intervention Provider Agency
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License Number |
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License Number State | TX
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