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General NPI Number Information
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NPI Number | 1295124139
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Entity Type | Individual
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Provider Name | PERLA COODY SLPA
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Gender | Female
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Dates
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Enumeration Date | 01/15/2015
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Last Update Date | 01/15/2015
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Provider Practice Location Address
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Address Line | 35 BUSINESS DR STE D
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City | BROWNSVILLE
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State | TX
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Zip | 78521-4587
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Country | US
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Telephone | 956-541-6976
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Fax | 186-694-5943
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Provider Business Mailing Address
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Address Line | 1915 W SAINT FRANCIS AVE
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City | ALTON
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State | TX
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Zip | 78573-4108
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Country | US
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Telephone | 956-222-7890
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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 | 2355S0801X
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Taxonomy Name | Speech-Language Assistant
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License Number | 37271
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License Number State | TX
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