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General NPI Number Information
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NPI Number | 1215723937
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Entity Type | Individual
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Provider Name | HEATHER M. SMITH CCC-SLP
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Gender | Female
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Dates
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Enumeration Date | 04/18/2025
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Last Update Date | 04/18/2025
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Provider Practice Location Address
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Address Line | 6410 FANNIN ST BLDG WS UTHSC PROFESSIONAL BUILDING, WS# 1100.13
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City | HOUSTON
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State | TX
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Zip | 77030-3000
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Country | US
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Telephone | 713-500-7909
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Fax |
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Provider Business Mailing Address
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Address Line | 16102 WALL ST
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City | JERSEY VILLAGE
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State | TX
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Zip | 77040-1268
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Country | US
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Telephone | 404-422-5977
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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 | 111447
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License Number State | TX
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