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General NPI Number Information
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NPI Number | 1265788731
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Entity Type | Organization
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Legal Business Name | NEUROWORKS THERAPY CENTER
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Dates
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Enumeration Date | 08/02/2012
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Last Update Date | 08/02/2012
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Provider Practice Location Address
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Address Line | 4010 PROVINCE DR
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City | CARROLLTON
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State | TX
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Zip | 75007-1636
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Country | US
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Telephone | 972-900-7083
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Fax | 972-939-9693
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Provider Business Mailing Address
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Address Line | 4010 PROVINCE DR
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City | CARROLLTON
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State | TX
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Zip | 75007-1636
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Country | US
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Telephone | 972-900-7083
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Fax | 972-939-9693
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Authorized Official
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Title or Position | THERAPIST
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Name | ARLENE HARRISON
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Credential | M.S. CCC-SLP
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Telephone | 972-213-8352
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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