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General NPI Number Information
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NPI Number | 1154720415
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Entity Type | Individual
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Provider Name | ANTONIA BRAZIER
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Gender | Female
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Dates
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Enumeration Date | 08/22/2014
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Last Update Date | 11/19/2024
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Provider Practice Location Address
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Address Line | 27721 STATE HIGHWAY 249 STE 700
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City | TOMBALL
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State | TX
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Zip | 77375-6561
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Country | US
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Telephone | 832-776-9375
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Fax |
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Provider Business Mailing Address
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Address Line | 18230 CHIANTI RIDGE DR
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City | CYPRESS
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State | TX
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Zip | 77433-2900
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Country | US
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Telephone | 281-881-1596
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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 | 110635
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License Number State | TX
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