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General NPI Number Information
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NPI Number | 1205052271
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Entity Type | Organization
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Legal Business Name | SPEAK INC
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Dates
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Enumeration Date | 04/18/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2401 IRA E WOODS AVENUE SUITE 300
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City | GRAPEVINE
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State | TX
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Zip | 76051-3999
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Country | US
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Telephone | 817-481-1854
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Fax | 817-481-7347
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Provider Business Mailing Address
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Address Line | 2401 IRA E WOODS AVENUE SUITE 300
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City | GRAPEVINE
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State | TX
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Zip | 76051-3999
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Country | US
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Telephone | 817-481-1854
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Fax | 817-481-7347
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Authorized Official
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Title or Position | SPEECH LANGUAGE PATHOLOGIST
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Name | MRS. ANN WEST HAILEY
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Credential | MS CCC SLP
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Telephone | 817-481-1854
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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 |
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License Number State |
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