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General NPI Number Information
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NPI Number | 1154948321
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Entity Type | Organization
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Legal Business Name | EKO SPEECH THERAPY PLLC
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Dates
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Enumeration Date | 07/02/2020
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Last Update Date | 01/09/2022
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Provider Practice Location Address
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Address Line | 24420 FM 1314 RD STE 18
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City | PORTER
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State | TX
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Zip | 77365-5490
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Country | US
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Telephone | 956-451-7354
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Fax |
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Provider Business Mailing Address
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Address Line | 20547 ALBRITTON TERRACE DR
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City | PORTER
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State | TX
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Zip | 77365-8601
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Country | US
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Telephone | 956-451-7354
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Fax |
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Authorized Official
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Title or Position | SPEECH-LANGUAGE PATHOLOGIST
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Name | BLANCA GARCIA
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Credential | M.S., CCC-SLP
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Telephone | 956-451-7354
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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Taxonomy #2
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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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