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General NPI Number Information
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NPI Number | 1124395504
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Entity Type | Organization
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Legal Business Name | SUNSET BAY SPEECH THERAPY SERVICES
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Dates
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Enumeration Date | 11/29/2011
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Last Update Date | 11/29/2011
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Provider Practice Location Address
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Address Line | 10039 BISSONNET ST STE 112
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City | HOUSTON
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State | TX
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Zip | 77036-7838
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Country | US
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Telephone | 713-777-1944
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Fax | 713-777-1924
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Provider Business Mailing Address
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Address Line | 13419 SUNSET BAY LN
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City | PEARLAND
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State | TX
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Zip | 77584-2174
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Country | US
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Telephone | 281-881-0448
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Fax | 713-340-0355
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Authorized Official
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Title or Position | SECRETARY
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Name | MRS. CHERRY THOMAS
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Credential |
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Telephone | 281-881-0448
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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 |
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License Number State |
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