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General NPI Number Information
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NPI Number | 1225333412
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Entity Type | Organization
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Legal Business Name | A STEP CLOSER
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Dates
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Enumeration Date | 01/19/2011
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Last Update Date | 02/16/2011
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Provider Practice Location Address
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Address Line | 4401 HWY 359 SUITES 4 & 5
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City | LAREDO
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State | TX
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Zip | 78043-4742
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Country | US
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Telephone | 956-740-2161
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Fax |
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Provider Business Mailing Address
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Address Line | 4401 HIGHWAY 359 SUITES 4 & 5
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City | LAREDO
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State | TX
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Zip | 78046-4784
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Country | US
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Telephone | 956-740-2161
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Fax |
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Authorized Official
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Title or Position | SLP/ MANAGER
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Name | LAURA CHRISTINA LOPEZ
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Credential | M.S.,CCC-SLP
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Telephone | 956-740-2161
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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 | 103557
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License Number State | TX
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