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General NPI Number Information
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NPI Number | 1407163645
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Entity Type | Organization
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Legal Business Name | THERAPY SPECIALISTS
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Dates
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Enumeration Date | 09/09/2010
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Last Update Date | 09/09/2010
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Provider Practice Location Address
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Address Line | 811 E FERN AVE
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City | MCALLEN
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State | TX
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Zip | 78501-1401
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Country | US
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Telephone | 956-618-5656
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Fax | 956-618-5660
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Provider Business Mailing Address
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Address Line | 811 E FERN AVE
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City | MCALLEN
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State | TX
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Zip | 78501-1401
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Country | US
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Telephone | 956-618-5656
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Fax | 956-618-5660
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Authorized Official
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Title or Position | SPEECH-LANGUAGE PATHOLOGIST
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Name | MARIA T BARRIENTOS
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Credential | MA, CCC-SLP
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Telephone | 956-618-5656
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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 | 100197
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 100195
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License Number State | TX
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