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General NPI Number Information
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NPI Number | 1184881260
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Entity Type | Individual
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Provider Name | RACHEL SMART-FADAIRO MS, CCC/SLP
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Gender | Female
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Dates
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Enumeration Date | 05/17/2008
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Last Update Date | 04/04/2022
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Provider Practice Location Address
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Address Line | 9100 SOUTHWEST FWY STE 161
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City | HOUSTON
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State | TX
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Zip | 77074-1584
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Country | US
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Telephone | 713-997-9460
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Fax | 281-558-2782
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Provider Business Mailing Address
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Address Line | 4011 CLAYTON GREENS CT
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City | HOUSTON
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State | TX
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Zip | 77082-4084
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Country | US
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Telephone | 713-997-9460
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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 | 100396
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License Number State | TX
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