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General NPI Number Information
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NPI Number | 1407045347
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Entity Type | Organization
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Legal Business Name | COMPREHENSIVE TESTING & THERAPY CENTER
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Dates
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Enumeration Date | 10/16/2007
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Last Update Date | 10/16/2007
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Provider Practice Location Address
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Address Line | 2250 MORRISS RD STE 204
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City | FLOWER MOUND
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State | TX
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Zip | 75028-3244
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Country | US
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Telephone | 972-355-2984
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Fax | 972-539-2932
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Provider Business Mailing Address
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Address Line | 2250 MORRISS RD STE 204
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City | FLOWER MOUND
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State | TX
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Zip | 75028-3244
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Country | US
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Telephone | 972-355-2984
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Fax | 972-539-2932
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Authorized Official
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Title or Position | SPEECH/LANGUAGE PATHOLOGIST
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Name | SHARON HONNELL
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Credential | M.S., SLP - CCC
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Telephone | 972-355-2984
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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 | 15163
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License Number State | TX
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