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General NPI Number Information
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NPI Number | 1235922568
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Entity Type | Individual
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Provider Name | HALEY OLSBERG
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Gender | Female
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Dates
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Enumeration Date | 05/28/2025
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Last Update Date | 05/28/2025
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Provider Practice Location Address
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Address Line | 2300 E RANCIER AVE STE 103
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City | KILLEEN
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State | TX
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Zip | 76543-3450
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Country | US
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Telephone | 254-781-3447
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Fax |
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Provider Business Mailing Address
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Address Line | 730 COUNTY ROAD 459
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City | TROY
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State | TX
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Zip | 76579-3215
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Country | US
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Telephone | 805-358-4113
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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 | 121059
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License Number State | TX
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