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General NPI Number Information
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NPI Number | 1073025110
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Entity Type | Individual
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Provider Name | STACEY LEANN NEPVEUX MS, CCC-SLP
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Gender | Female
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Dates
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Enumeration Date | 10/30/2017
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Last Update Date | 08/22/2022
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Provider Practice Location Address
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Address Line | 9711 BIRDSNEST CT
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City | SPRING
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State | TX
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Zip | 77379-5394
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Country | US
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Telephone | 214-783-1221
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Fax |
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Provider Business Mailing Address
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Address Line | 1424 RED DR
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City | LITTLE ELM
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State | TX
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Zip | 75068-3429
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Country | US
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Telephone | 214-783-1221
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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 | 103383
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License Number State | TX
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