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General NPI Number Information
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NPI Number | 1144437609
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Entity Type | Individual
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Provider Name | ANNE MARIE MASSEY M.A. CCC-SLP
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Gender | Female
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Dates
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Enumeration Date | 05/16/2007
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Last Update Date | 09/18/2023
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Provider Practice Location Address
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Address Line | 3322 RANCH ROAD 620 S
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City | AUSTIN
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State | TX
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Zip | 78738-6804
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Country | US
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Telephone | 512-533-6460
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Fax | 512-533-6469
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Provider Business Mailing Address
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Address Line | 343 MADERA WAY
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City | DRIPPING SPRINGS
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State | TX
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Zip | 78620
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Country | US
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Telephone | 925-325-4820
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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 | 103139
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License Number State | TX
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