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General NPI Number Information
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NPI Number | 1144991621
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Entity Type | Organization
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Legal Business Name | ADAMS APPLE THERAPY LLC
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Dates
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Enumeration Date | 09/23/2021
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Last Update Date | 10/20/2022
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Provider Practice Location Address
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Address Line | 1777 NE LOOP 410 STE 600
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City | SAN ANTONIO
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State | TX
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Zip | 78217-5218
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Country | US
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Telephone | 210-841-5711
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Fax |
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Provider Business Mailing Address
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Address Line | 1777 NE LOOP 410 STE 600
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City | SAN ANTONIO
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State | TX
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Zip | 78217-5218
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Country | US
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Telephone | 210-841-5711
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | TIFFANY NICHOLE ADAMS
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Credential | SLP
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Telephone | 210-288-0101
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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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