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General NPI Number Information
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NPI Number | 1396071320
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Entity Type | Individual
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Provider Name | CALI VAUGHN WILLINGHAM MS CCC/SLP
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Gender | Female
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Dates
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Enumeration Date | 10/27/2009
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Last Update Date | 01/05/2024
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Provider Practice Location Address
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Address Line | RED OAK INDEPENDENT SCHOOL DISTRICT 109 W RED OAK RD
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City | RED OAK
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State | TX
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Zip | 75154-6335
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Country | US
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Telephone | 972-617-2941
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Fax |
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Provider Business Mailing Address
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Address Line | RED OAK ELEMENTARY SPEECH PATHOLOGIST 200 VALLEY RIDGE DR.
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City | RED OAK
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State | TX
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Zip | 75154
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Country | US
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Telephone | 972-617-3523
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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 | 104273
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License Number State | TX
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