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General NPI Number Information
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NPI Number | 1073267647
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Entity Type | Individual
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Provider Name | AMBER KAYE MCDONOUGH
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Gender | Female
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Dates
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Enumeration Date | 02/11/2022
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Last Update Date | 08/22/2023
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Provider Practice Location Address
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Address Line | 3200 ALMOND CREEK DR
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City | HOUSTON
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State | TX
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Zip | 77059-2812
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Country | US
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Telephone | 281-284-5900
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Fax |
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Provider Business Mailing Address
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Address Line | 12326 RAMLA PLACE TRL
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City | HOUSTON
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State | TX
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Zip | 77089-2787
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Country | US
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Telephone | 940-634-3130
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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 | 111351
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License Number State | TX
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