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General NPI Number Information
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NPI Number | 1295528453
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Entity Type | Individual
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Provider Name | LAQUIONNA KELLEY SLP-ASSISTANT
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Gender | Female
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Dates
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Enumeration Date | 05/28/2025
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Last Update Date | 05/28/2025
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Provider Practice Location Address
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Address Line | 7500 KIRBY DR APT 1312
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City | HOUSTON
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State | TX
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Zip | 77030-4340
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Country | US
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Telephone | 203-499-8274
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Fax |
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Provider Business Mailing Address
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Address Line | 7500 KIRBY DR APT 1312
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City | HOUSTON
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State | TX
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Zip | 77030-4340
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Country | US
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Telephone |
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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 | 43861
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License Number State | TX
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