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NPI 1396093555

NPI 1396093555 : LIZA MARIE FELICI M.S., S.L.P.-CCC : THE WOODLANDS, TX

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General NPI Number Information
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    NPI Number           |    1396093555
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    Entity Type          |    Individual 
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    Provider Name        |    LIZA MARIE FELICI M.S., S.L.P.-CCC
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    08/20/2012
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    Last Update Date     |    08/19/2015
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Provider Practice Location Address
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    Address Line         |    26407 OAK RIDGE DR 
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    City                 |    THE WOODLANDS
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    State                |    TX
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    Zip                  |    77380-1964
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    Country              |    US
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    Telephone            |    281-363-2270
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    7575 GOSLING RD APT 733 
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    City                 |    THE WOODLANDS
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    State                |    TX
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    Zip                  |    77382-1544
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    Country              |    US
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    Telephone            |    512-785-9720
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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       |    
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    License Number State |    
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