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General NPI Number Information
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NPI Number | 1083219190
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Entity Type | Organization
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Legal Business Name | LOVE LEE SPEECH THERAPY SERVICES
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Dates
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Enumeration Date | 12/04/2020
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Last Update Date | 11/01/2022
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Provider Practice Location Address
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Address Line | 5730 TIMBER CREEK PLACE DR APT 813
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City | HOUSTON
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State | TX
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Zip | 77084-5384
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Country | US
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Telephone | 985-713-9529
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Fax |
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Provider Business Mailing Address
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Address Line | 5730 TIMBER CREEK PLACE DR APT 813
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City | HOUSTON
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State | TX
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Zip | 77084-5384
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Country | US
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Telephone | 985-713-9529
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Fax |
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Authorized Official
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Title or Position | SPEECH LANGUAGE PATHOLOGIST
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Name | JONEISHA T LEE
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Credential | M.S., CCC-SLP
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Telephone | 985-713-9529
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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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 |
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License Number State |
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