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General NPI Number Information
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NPI Number | 1174853279
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Entity Type | Individual
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Provider Name | MELANIE GARZA SPEECH LANGUAGE PATH
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Gender | Female
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Dates
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Enumeration Date | 01/12/2010
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Last Update Date | 05/23/2024
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Provider Practice Location Address
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Address Line | 920 W SANTA ROSA AVE
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City | EDCOUCH
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State | TX
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Zip | 78538
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Country | US
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Telephone | 956-262-6015
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Fax |
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Provider Business Mailing Address
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Address Line | 865 ROCKY AVE
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City | RAYMONDVILLE
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State | TX
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Zip | 78580-2816
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Country | US
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Telephone | 956-690-4141
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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 | 103904
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License Number State | TX
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