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General NPI Number Information
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NPI Number | 1215168661
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Entity Type | Organization
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Legal Business Name | THERAPY MASTERS, LLC
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Dates
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Enumeration Date | 08/03/2009
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Last Update Date | 08/03/2009
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Provider Practice Location Address
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Address Line | 2602 ATLAS DR
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City | MISSOURI CITY
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State | TX
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Zip | 77459-6743
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Country | US
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Telephone | 832-656-7775
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Fax | 832-550-2400
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Provider Business Mailing Address
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Address Line | 10333 HARWIN DR
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City | HOUSTON
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State | TX
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Zip | 77036-1545
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Country | US
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Telephone | 832-656-7775
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Fax | 832-550-2400
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Authorized Official
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Title or Position | SPEECH/LANGUAGE PATHOLOGIST
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Name | MR. CLAUDE NATHANIEL JACKSON IV
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Credential | M.ED., CCC-SLP
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Telephone | 832-656-7775
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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 | 18700
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License Number State | TX
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