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General NPI Number Information
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NPI Number | 1255030854
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Entity Type | Organization
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Legal Business Name | DIVERSE SPEECH THERAPY SOLUTIONS, LLC
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Dates
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Enumeration Date | 03/02/2023
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Last Update Date | 06/18/2025
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Provider Practice Location Address
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Address Line | 1600 NE LOOP 410 STE 217
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City | SAN ANTONIO
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State | TX
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Zip | 78209-1633
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Country | US
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Telephone | 210-829-5777
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Fax |
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Provider Business Mailing Address
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Address Line | 1600 NE LOOP 410 STE 217
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City | SAN ANTONIO
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State | TX
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Zip | 78209-1633
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Country | US
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Telephone | 210-829-5777
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Fax |
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Authorized Official
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Title or Position | SPEECH-LANGUAGE PATHOLOGIST/COOWNER
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Name | MS. VERONICA LEAL BOTELLO
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Credential | M.A. CCC-SLP
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Telephone | 210-829-5777
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number |
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License Number State |
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