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General NPI Number Information
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NPI Number | 1225709124
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Entity Type | Individual
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Provider Name | EMMA QUIGLEY MS CCC SLP
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Gender | Female
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Dates
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Enumeration Date | 09/22/2021
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Last Update Date | 09/22/2021
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Provider Practice Location Address
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Address Line | 1000 HARRISON LN
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City | HURST
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State | TX
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Zip | 76053-5002
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Country | US
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Telephone | 817-399-3510
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Fax |
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Provider Business Mailing Address
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Address Line | 1849 CENTRAL DR
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City | BEDFORD
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State | TX
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Zip | 76022-6017
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Country | US
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Telephone | 817-283-4461
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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 | 113637
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License Number State | TX
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