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General NPI Number Information
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NPI Number | 1073208989
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Entity Type | Individual
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Provider Name | EMILY COLCLASURE M.S., CCC-SLP
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Gender | Female
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Dates
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Enumeration Date | 04/06/2023
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Last Update Date | 04/06/2023
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Provider Practice Location Address
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Address Line | 4500 HILLCREST RD STE 140
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City | FRISCO
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State | TX
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Zip | 75035-5419
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Country | US
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Telephone | 469-965-1424
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Fax |
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Provider Business Mailing Address
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Address Line | 2821 TIMBER ROCK LN
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City | MIDLOTHIAN
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State | TX
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Zip | 76065-7059
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Country | US
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Telephone | 214-415-7794
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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 |
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License Number State |
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