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General NPI Number Information
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NPI Number | 1306728274
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Entity Type | Individual
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Provider Name | TAREN BOMAN
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Gender | Female
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Dates
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Enumeration Date | 07/22/2025
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Last Update Date | 07/22/2025
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Provider Practice Location Address
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Address Line | 2509 BEDFORD RD
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City | BEDFORD
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State | TX
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Zip | 76021-6985
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Country | US
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Telephone | 817-508-0030
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Fax | 877-267-4771
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Provider Business Mailing Address
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Address Line | 6229 ROUGH RD
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City | CLEBURNE
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State | TX
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Zip | 76031-0974
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Country | US
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Telephone | 817-487-1542
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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 |
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License Number State |
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