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General NPI Number Information
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NPI Number | 1285180034
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Entity Type | Organization
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Legal Business Name | EASY SPEECH LANGUAGE & SPEECH SERVICES, LLC
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Dates
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Enumeration Date | 08/31/2016
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Last Update Date | 03/28/2019
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Provider Practice Location Address
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Address Line | 2656 S LOOP W STE 440
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City | HOUSTON
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State | TX
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Zip | 77054-2697
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Country | US
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Telephone | 281-972-0442
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Fax | 800-956-9786
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Provider Business Mailing Address
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Address Line | 2727 REVERE ST 3044
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City | HOUSTON
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State | TX
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Zip | 77098-1328
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Country | US
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Telephone | 404-668-0170
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Fax | 800-956-9786
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Authorized Official
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Title or Position | SPEECH LANGUAGE PATHOLOGIST
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Name | MS. KEISIA NANETTE GALMON
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Credential | M.S.
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Telephone | 281-972-0442
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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 |
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License Number State |
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