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General NPI Number Information
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NPI Number | 1285999078
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Entity Type | Organization
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Legal Business Name | AUTUMN OAK SPEECH VOICE AND HEARING
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Dates
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Enumeration Date | 07/09/2012
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Last Update Date | 12/05/2023
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Provider Practice Location Address
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Address Line | 699 S FRIENDSWOOD DR SUITE 104
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City | FRIENDSWOOD
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State | TX
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Zip | 77546-4579
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Country | US
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Telephone | 281-816-3067
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Fax |
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Provider Business Mailing Address
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Address Line | 699 S FRIENDSWOOD DR SUITE 104
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City | FRIENDSWOOD
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State | TX
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Zip | 77546-4579
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Country | US
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Telephone | 281-816-3067
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MICHELLE MARIE SALTARRELLI
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Credential | AU.D, CCC-SLP/A
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Telephone | 281-816-3067
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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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Taxonomy #2
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Taxonomy Code | 261QH0700X
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Taxonomy Name | Hearing and Speech Clinic/Center
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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 | 332S00000X
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Taxonomy Name | Hearing Aid Equipment
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 231H00000X
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Taxonomy Name | Audiologist
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License Number |
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License Number State |
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