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General NPI Number Information
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NPI Number | 1427490622
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Entity Type | Organization
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Legal Business Name | WALKEZ TALKEZ
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Dates
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Enumeration Date | 07/29/2013
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Last Update Date | 02/17/2015
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Provider Practice Location Address
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Address Line | 7002 LEBANON RD SUITE 102
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City | FRISCO
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State | TX
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Zip | 75034-7461
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Country | US
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Telephone | 469-408-4634
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Fax | 972-618-1051
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Provider Business Mailing Address
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Address Line | 7628 TWELVE OAKS CIR
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City | PLANO
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State | TX
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Zip | 75025-3713
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Country | US
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Telephone | 469-408-4634
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Fax | 972-618-1051
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Authorized Official
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Title or Position | SPEECH PATHOLOGIST
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Name | MRS. REBECCA DANA
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Credential | M.S., CCC/SLP
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Telephone | 469-408-4634
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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 | 103026
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License Number State | TX
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