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General NPI Number Information
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NPI Number | 1306389119
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Entity Type | Individual
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Provider Name | MISS EMILY ROSE KHANH
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Gender | Female
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Dates
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Enumeration Date | 11/28/2016
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Last Update Date | 11/28/2016
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Provider Practice Location Address
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Address Line | 3801 VISTA RD SUITE 200
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City | PASADENA
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State | TX
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Zip | 77504-2159
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Country | US
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Telephone | 713-910-5437
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Fax |
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Provider Business Mailing Address
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Address Line | 15135 MEMORIAL DR APT 4311
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City | HOUSTON
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State | TX
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Zip | 77079-4323
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Country | US
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Telephone | 832-606-2166
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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 | 39999
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License Number State | TX
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