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General NPI Number Information
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NPI Number | 1104034974
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Entity Type | Individual
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Provider Name | MARLO T CAGE M.A.,CCC-SLP
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Gender | Female
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Dates
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Enumeration Date | 05/17/2007
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Last Update Date | 09/13/2018
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Provider Practice Location Address
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Address Line | 3308 HOME POINT DR
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City | HOUSTON
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State | TX
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Zip | 77091
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Country | US
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Telephone | 559-240-4772
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Fax |
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Provider Business Mailing Address
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Address Line | 3308 HOME POINT DR
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City | HOUSTON
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State | TX
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Zip | 77091-5568
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Country | US
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Telephone | 559-240-4772
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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 | 103908
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License Number State | TX
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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 | SP.12890
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License Number State | OH
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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 | 1853
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License Number State | NH
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Taxonomy #4
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | SP9634
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License Number State | CA
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