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General NPI Number Information
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NPI Number | 1336253376
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Entity Type | Individual
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Provider Name | TAMARA LYNN SCHULTZ CCC-SLP
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Gender | Female
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Dates
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Enumeration Date | 08/18/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 9810 FM 1960 BYPASS RD W SUITE 190
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City | HUMBLE
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State | TX
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Zip | 77338-3502
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Country | US
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Telephone | 281-446-0371
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Fax |
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Provider Business Mailing Address
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Address Line | 5435 DOVE FOREST LN
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City | HUMBLE
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State | TX
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Zip | 77346-1224
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Country | US
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Telephone | 281-812-8075
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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 | 18088
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License Number State | TX
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