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General NPI Number Information
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NPI Number | 1205109709
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Entity Type | Organization
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Legal Business Name | CHEERS THERAPY CENTER, LLC
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Dates
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Enumeration Date | 02/14/2012
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Last Update Date | 02/14/2012
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Provider Practice Location Address
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Address Line | 8030 N FM 1015 STE C
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City | MERCEDES
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State | TX
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Zip | 78570-4809
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Country | US
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Telephone | 956-565-3200
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Fax | 956-565-3209
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Provider Business Mailing Address
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Address Line | 8030 N FM 1015 STE C
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City | MERCEDES
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State | TX
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Zip | 78570-4809
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Country | US
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Telephone | 956-565-3200
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Fax | 956-565-3209
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Authorized Official
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Title or Position | DIRECTOR
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Name | CLAUDIA HERNANDEZ GOMEZ
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Credential | M.S.,CCC-SLP
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Telephone | 956-565-3200
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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 | 40186
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License Number State | TX
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