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General NPI Number Information
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NPI Number | 1174010698
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Entity Type | Organization
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Legal Business Name | INSPIRATION THERAPY PLLC
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Dates
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Enumeration Date | 04/19/2018
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Last Update Date | 05/02/2022
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Provider Practice Location Address
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Address Line | 29715 WAVERLY PARK LN
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City | BROOKSHIRE
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State | TX
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Zip | 77423-7405
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Country | US
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Telephone | 281-853-9881
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Fax |
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Provider Business Mailing Address
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Address Line | 29715 WAVERLY PARK LN
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City | BROOKSHIRE
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State | TX
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Zip | 77423-7405
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | SLP/ OTR
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Name | RONETTE, TANGENT HOWARD, JOHNSON
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Credential |
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Telephone | 832-996-0930
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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 | 110782
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 116168
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License Number State | TX
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