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General NPI Number Information
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NPI Number | 1194515940
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Entity Type | Individual
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Provider Name | KATHERINE VANESA QUINTANILLA MAGANA
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Gender | Female
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Dates
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Enumeration Date | 05/07/2025
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Last Update Date | 05/07/2025
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Provider Practice Location Address
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Address Line | 16835 DEER CREEK DR STE 120
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City | SPRING
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State | TX
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Zip | 77379-5803
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Country | US
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Telephone | 281-379-4373
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Fax |
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Provider Business Mailing Address
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Address Line | 14355 CORNERSTONE VILLAGE DR APT 1008
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City | HOUSTON
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State | TX
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Zip | 77014-1229
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Country | US
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Telephone | 832-739-3450
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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 | 2355S0801X
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Taxonomy Name | Speech-Language Assistant
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License Number | 44335
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License Number State | TX
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