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General NPI Number Information
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NPI Number | 1184195737
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Entity Type | Organization
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Legal Business Name | ALLISON'S THERAPY CORNER, LLC
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Dates
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Enumeration Date | 12/07/2018
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Last Update Date | 01/28/2025
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Provider Practice Location Address
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Address Line | 4917 GOLDEN TRIANGLE BLVD STE 411&421
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City | FORT WORTH
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State | TX
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Zip | 76244-4671
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Country | US
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Telephone | 817-754-4940
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Fax | 817-717-8584
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Provider Business Mailing Address
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Address Line | 3933 VISTA GREENS DR
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City | FORT WORTH
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State | TX
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Zip | 76244-8165
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Country | US
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Telephone | 817-734-6515
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Fax |
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Authorized Official
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Title or Position | OWNER/SPEECH-LANGUAGE PATHOLOGIST
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Name | ALLISON N MILLS
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Credential | M.S., CCC-SLP
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Telephone | 817-734-6515
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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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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Taxonomy #3
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State |
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