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General NPI Number Information
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NPI Number | 1124598255
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Entity Type | Individual
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Provider Name | ELIZABETH BEGLEY CCC-SLP
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Gender | Female
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Dates
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Enumeration Date | 12/02/2018
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Last Update Date | 12/02/2018
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Provider Practice Location Address
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Address Line | 547 WILLIAM D FITCH PKWY STE 102
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City | COLLEGE STATION
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State | TX
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Zip | 77845-6161
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Country | US
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Telephone | 979-484-8745
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Fax |
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Provider Business Mailing Address
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Address Line | 8407 SHADOW OAKS
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City | COLLEGE STATION
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State | TX
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Zip | 77845-4603
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Country | US
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Telephone | 607-229-0402
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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 | 105190
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License Number State | TX
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