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General NPI Number Information
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NPI Number | 1376384800
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Entity Type | Organization
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Legal Business Name | PLAY ON WORDS PEDIATRIC SPEECH THERAPY, PLLC
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Dates
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Enumeration Date | 06/06/2024
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Last Update Date | 06/06/2024
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Provider Practice Location Address
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Address Line | 7861 TUDOR LN
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City | ARGYLE
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State | TX
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Zip | 76226-4325
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Country | US
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Telephone | 940-304-3791
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Fax |
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Provider Business Mailing Address
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Address Line | 2505 GREEN OAK DR
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City | CARROLLTON
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State | TX
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Zip | 75010-4224
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Country | US
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Telephone | 469-586-8725
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ANNIE GIST
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Credential | M.S., CCC-SLP
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Telephone | 940-304-3791
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0700X
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Taxonomy Name | Hearing and Speech Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number |
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License Number State |
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