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General NPI Number Information
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NPI Number | 1326382920
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Entity Type | Organization
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Legal Business Name | HILL COUNTRY SPEECH THERAPY, PLLC
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Dates
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Enumeration Date | 11/20/2012
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Last Update Date | 09/24/2013
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Provider Practice Location Address
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Address Line | 12505 RUSH CREEK LN
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City | AUSTIN
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State | TX
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Zip | 78732-1991
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Country | US
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Telephone | 512-368-2238
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Fax | 512-266-6319
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Provider Business Mailing Address
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Address Line | 12505 RUSH CREEK LN
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City | AUSTIN
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State | TX
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Zip | 78732-1991
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Country | US
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Telephone | 512-368-2238
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Fax | 512-266-6319
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Authorized Official
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Title or Position | PRESIDENT
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Name | MICHELE REEDER
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Credential | M.A. CCC/SLP
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Telephone | 512-368-2238
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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 | 104468
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License Number State | TX
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