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General NPI Number Information
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NPI Number | 1275253130
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Entity Type | Individual
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Provider Name | ANJELICA BOLEY MS
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Gender | Female
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Dates
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Enumeration Date | 08/31/2022
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Last Update Date | 02/11/2026
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Provider Practice Location Address
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Address Line | 3830 FREEMAN WAY
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City | PROSPER
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State | TX
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Zip | 75078-2402
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Country | US
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Telephone | 945-678-3300
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Fax |
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Provider Business Mailing Address
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Address Line | 900 GORDON HTS APT 365
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City | FRISCO
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State | TX
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Zip | 75033-5479
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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 |
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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 | 120207
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License Number State | TX
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