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General NPI Number Information
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NPI Number | 1396471389
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Entity Type | Individual
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Provider Name | ELIZABETH MARIE SAMPSON M.A., CCC/SLP
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Gender | Female
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Dates
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Enumeration Date | 08/01/2022
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Last Update Date | 11/08/2024
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Provider Practice Location Address
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Address Line | 820 S FRIENDSWOOD DR STE 100
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City | FRIENDSWOOD
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State | TX
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Zip | 77546-4543
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Country | US
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Telephone | 281-816-3067
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Fax | 832-569-4696
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Provider Business Mailing Address
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Address Line | 699 S FRIENDSWOOD DR STE 104
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City | FRIENDSWOOD
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State | TX
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Zip | 77546-4580
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Country | US
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Telephone | 281-816-3067
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Fax | 832-569-4696
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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 | 105968
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License Number State | TX
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