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General NPI Number Information
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NPI Number | 1285419481
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Entity Type | Individual
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Provider Name | ARIANNA KEEGAN CONTRERAS SLP
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Gender | Female
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Dates
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Enumeration Date | 08/28/2023
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Last Update Date | 11/14/2024
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Provider Practice Location Address
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Address Line | 308 HORNET WAY
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City | GATESVILLE
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State | TX
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Zip | 76528-2636
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Country | US
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Telephone | 254-865-7264
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Fax |
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Provider Business Mailing Address
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Address Line | 3313 FOX HOLLOW CIR
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City | WACO
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State | TX
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Zip | 76708-2357
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Country | US
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Telephone | 417-234-3797
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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 | 121696
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License Number State | TX
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