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General NPI Number Information
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NPI Number | 1326554411
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Entity Type | Organization
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Legal Business Name | SPEECH LANGUAGE SERVICE UNLIMITED
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Dates
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Enumeration Date | 12/27/2017
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Last Update Date | 12/27/2017
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Provider Practice Location Address
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Address Line | 1901 MEDI PARK DR STE 1038
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City | AMARILLO
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State | TX
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Zip | 79106-2110
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Country | US
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Telephone | 806-674-1146
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Fax |
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Provider Business Mailing Address
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Address Line | 8105 CORONADO TRL
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City | AMARILLO
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State | TX
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Zip | 79110-4715
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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 | OWNER
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Name | LOUISE STARCHER
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Credential | MS CCC SLP
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Telephone | 806-355-3049
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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 | 13110
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License Number State | TX
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