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General NPI Number Information
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NPI Number | 1366857328
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Entity Type | Organization
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Legal Business Name | SOUNDLY SPEAKING SPEECH THERAPY SERVICES
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Dates
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Enumeration Date | 06/27/2014
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Last Update Date | 06/27/2014
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Provider Practice Location Address
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Address Line | 1530 WESTFIELD LN
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City | ROCKWALL
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State | TX
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Zip | 75032-7288
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Country | US
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Telephone | 214-934-8721
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Fax |
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Provider Business Mailing Address
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Address Line | 1530 WESTFIELD LN
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City | ROCKWALL
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State | TX
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Zip | 75032-7288
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Country | US
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Telephone | 214-934-8721
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Fax |
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Authorized Official
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Title or Position | SPEECH PATHOLOGIST/OWNER
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Name | MICHELE D DAVIS
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Credential |
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Telephone | 214-934-8721
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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 | 15195
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License Number State | TX
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