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General NPI Number Information
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NPI Number | 1336594837
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Entity Type | Individual
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Provider Name | ELIZABETH STEVENS MILLER M.S., CCC/SLP
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Gender | Female
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Dates
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Enumeration Date | 05/03/2016
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Last Update Date | 05/24/2016
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Provider Practice Location Address
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Address Line | 5720 LBJ FWY SUITE 190
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City | DALLAS
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State | TX
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Zip | 75240-6328
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Country | US
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Telephone | 817-337-7600
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Fax | 817-337-7622
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Provider Business Mailing Address
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Address Line | 101 WATERMERE DR
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City | SOUTHLAKE
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State | TX
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Zip | 76092-8116
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Country | US
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Telephone | 817-337-7600
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Fax | 877-863-6021
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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 | 104943
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License Number State | TX
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