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General NPI Number Information
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NPI Number | 1134499874
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Entity Type | Organization
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Legal Business Name | ROBERTS SPEECH THERAPY SERVICES PC
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Dates
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Enumeration Date | 01/11/2012
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Last Update Date | 01/11/2012
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Provider Practice Location Address
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Address Line | 306 WESLEY DR
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City | KERRVILLE
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State | TX
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Zip | 78028-5822
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Country | US
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Telephone | 830-257-1108
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Fax |
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Provider Business Mailing Address
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Address Line | 306 WESLEY DR
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City | KERRVILLE
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State | TX
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Zip | 78028-5822
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Country | US
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Telephone | 830-257-1108
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | KRISTA ROBERTS
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Credential |
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Telephone | 830-329-0396
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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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