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General NPI Number Information
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NPI Number | 1265008718
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Entity Type | Organization
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Legal Business Name | ABA OF NORTH TEXAS, LLC
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Dates
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Enumeration Date | 06/03/2021
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Last Update Date | 09/04/2024
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Provider Practice Location Address
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Address Line | 5751 KROGER DR
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City | FORT WORTH
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State | TX
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Zip | 76244-5632
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Country | US
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Telephone | 940-441-3550
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Fax | 940-448-3200
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Provider Business Mailing Address
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Address Line | 5751 KROGER DR STE 141
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City | FORT WORTH
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State | TX
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Zip | 76244-5633
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DANIA SALAM-KING
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Credential |
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Telephone | 563-213-3144
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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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Taxonomy #3
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State |
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