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General NPI Number Information
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NPI Number | 1295378636
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Entity Type | Individual
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Provider Name | LAUREN ELIZABETH ROSS WIER CCC-SLP
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Gender | Female
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Dates
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Enumeration Date | 10/17/2019
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Last Update Date | 11/17/2025
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Provider Practice Location Address
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Address Line | 1295 KINWEST PKWY
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City | IRVING
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State | TX
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Zip | 75063-3560
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Country | US
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Telephone | 469-317-7621
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Fax |
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Provider Business Mailing Address
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Address Line | 13510 WATERFALL WAY
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City | DALLAS
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State | TX
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Zip | 75240-5831
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Country | US
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Telephone | 409-719-2751
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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 | 122167
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License Number State | TX
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