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General NPI Number Information
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NPI Number | 1073939237
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Entity Type | Organization
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Legal Business Name | PREMIER SPEECH & SWALLOWING SOLUTIONS LLC
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Dates
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Enumeration Date | 03/12/2014
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Last Update Date | 09/28/2022
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Provider Practice Location Address
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Address Line | 18502 GREEN LAND WAY STE D
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City | HOUSTON
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State | TX
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Zip | 77084-7967
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Country | US
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Telephone | 281-717-4308
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Fax | 877-886-0898
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Provider Business Mailing Address
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Address Line | 18502 GREEN LAND WAY STE D
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City | HOUSTON
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State | TX
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Zip | 77084-7967
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Country | US
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Telephone | 281-717-4308
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Fax | 877-886-0898
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Authorized Official
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Title or Position | OWNER
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Name | VONETTA CLARK-ALLEN
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Credential | CCC-SLP
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Telephone | 281-717-4308
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 101079
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License Number State | TX
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Taxonomy #3
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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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