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General NPI Number Information
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NPI Number | 1083087548
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Entity Type | Organization
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Legal Business Name | SPECIAL CONNECTIONS SPEECH & LANGUAGE ACADEMY, INC.
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Dates
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Enumeration Date | 11/05/2015
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Last Update Date | 11/05/2015
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Provider Practice Location Address
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Address Line | 12570 CLAY RD
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City | HOUSTON
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State | TX
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Zip | 77041-5593
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Country | US
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Telephone | 214-529-7582
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Fax |
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Provider Business Mailing Address
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Address Line | 12570 CLAY RD
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City | HOUSTON
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State | TX
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Zip | 77041-5593
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Country | US
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Telephone | 214-529-7582
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | KENDRA L SEVERS
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Credential | SLP
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Telephone | 214-529-7582
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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 | 19322
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License Number State | TX
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