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General NPI Number Information
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NPI Number | 1306304753
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Entity Type | Organization
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Legal Business Name | KID PRO, PLLC
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Dates
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Enumeration Date | 03/05/2019
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Last Update Date | 12/05/2022
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Provider Practice Location Address
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Address Line | 6510 ABRAMS RD STE 315
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City | DALLAS
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State | TX
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Zip | 75231-7280
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Country | US
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Telephone | 972-755-9157
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Fax |
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Provider Business Mailing Address
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Address Line | 6510 ABRAMS RD STE 315
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City | DALLAS
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State | TX
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Zip | 75231-7280
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Country | US
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Telephone | 972-755-9157
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Fax |
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Authorized Official
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Title or Position | OWNER/SLP
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Name | ASHLEY ELIZABETH SMITH
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Credential | MS, CCC-SLP
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Telephone | 972-755-9157
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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