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General NPI Number Information
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NPI Number | 1407023955
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Entity Type | Organization
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Legal Business Name | SPEECH AND LANGUAGE BUILDERS
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Dates
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Enumeration Date | 05/14/2008
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Last Update Date | 05/14/2008
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Provider Practice Location Address
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Address Line | 15315 DAWN MEADOWS DR
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City | HOUSTON
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State | TX
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Zip | 77068
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Country | US
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Telephone | 281-444-5584
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Fax | 281-444-3984
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Provider Business Mailing Address
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Address Line | 15315 DAWN MEADOWS DR
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City | HOUSTON
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State | TX
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Zip | 77068-3817
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Country | US
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Telephone | 281-444-5584
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Fax | 281-444-3984
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Authorized Official
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Title or Position | SPEECH PATHOLOGIST
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Name | PATRICIA THOMAS
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Credential | MA CCC
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Telephone | 281-444-5584
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 10619
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License Number State | TX
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