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General NPI Number Information
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NPI Number | 1437887999
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Entity Type | Individual
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Provider Name | ANNE LIZETTE MADRIGAL WHITE B.S., SLP ASSISTANT
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Gender | Female
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Dates
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Enumeration Date | 08/11/2022
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Last Update Date | 08/11/2022
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Provider Practice Location Address
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Address Line | 514 W QUINCY ST
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City | SAN ANTONIO
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State | TX
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Zip | 78212-5163
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Country | US
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Telephone | 210-931-5888
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Fax |
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Provider Business Mailing Address
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Address Line | 4309 DEEP SPRING PASS
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City | SCHERTZ
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State | TX
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Zip | 78154-3064
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Country | US
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Telephone | 210-931-5888
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Fax |
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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 | 2355S0801X
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Taxonomy Name | Speech-Language Assistant
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License Number | 37241
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License Number State | TX
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