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General NPI Number Information
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NPI Number | 1164969291
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Entity Type | Organization
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Legal Business Name | PATRICIA J. THOMAS, M.A., CCC, PLLC
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Dates
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Enumeration Date | 01/26/2017
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Last Update Date | 01/26/2017
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Provider Practice Location Address
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Address Line | 505 N SAM HOUSTON PKWY E S250
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City | HOUSTON
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State | TX
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Zip | 77060-4018
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Country | US
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Telephone | 713-828-2804
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Fax |
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Provider Business Mailing Address
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Address Line | 505 N SAM HOUSTON PKWY E S250
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City | HOUSTON
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State | TX
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Zip | 77060-4018
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Country | US
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Telephone | 713-828-2804
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Fax |
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Authorized Official
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Title or Position | CREDENTIALER
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Name | MRS. JOSHUA ERICKSON
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Credential | BAA,CPC,CRCM
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Telephone | 832-212-7547
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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 | 10619
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License Number State | TX
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