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General NPI Number Information
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NPI Number | 1104538412
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Entity Type | Organization
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Legal Business Name | SPEECH AND LANGUAGE INSTITUTE
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Dates
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Enumeration Date | 12/19/2022
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Last Update Date | 02/04/2025
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Provider Practice Location Address
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Address Line | 7502 AUGUSTA LANE
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City | ROSHARON
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State | TX
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Zip | 77583
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Country | US
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Telephone | 713-321-0166
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Fax |
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Provider Business Mailing Address
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Address Line | 17077 N TEXAS AVE UNIT 57331
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City | WEBSTER
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State | TX
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Zip | 77598-4171
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Country | US
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Telephone | 713-321-0166
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Fax |
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Authorized Official
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Title or Position | SPEECH LANGUAGE PATHOLOGISTS
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Name | DR. ERIKA AZIEGBE
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Credential | EDD
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Telephone | 713-321-0166
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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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 | 261QH0700X
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Taxonomy Name | Hearing and Speech Clinic/Center
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License Number |
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License Number State |
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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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