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General NPI Number Information
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NPI Number | 1154593622
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Entity Type | Organization
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Legal Business Name | KIDS T.L.C. THE LANGUAGE CONNECTION LLC
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Dates
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Enumeration Date | 03/25/2008
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Last Update Date | 03/25/2008
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Provider Practice Location Address
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Address Line | 2610 ALLEN ST SUITE 5501
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City | DALLAS
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State | TX
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Zip | 75204-2500
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Country | US
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Telephone | 214-243-4934
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Fax | 214-953-0423
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Provider Business Mailing Address
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Address Line | 2610 ALLEN ST SUITE 5501
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City | DALLAS
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State | TX
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Zip | 75204-2500
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Country | US
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Telephone | 214-243-4934
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Fax | 214-953-0423
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Authorized Official
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Title or Position | SPEECH LANGUAGE PATHOLOGIST
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Name | ABBY ACKERMAN
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Credential | M.S.;CCC-SLP
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Telephone | 214-243-4934
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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 | 101702
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License Number State | TX
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