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General NPI Number Information
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NPI Number | 1457582256
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Entity Type | Organization
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Legal Business Name | MOTOR MOUTHS SPEECH AND FEEDING SERVICES, PLLC
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Dates
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Enumeration Date | 07/28/2009
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Last Update Date | 07/28/2009
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Provider Practice Location Address
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Address Line | 3921 18TH ST
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City | PLANO
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State | TX
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Zip | 75074-7902
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Country | US
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Telephone | 972-839-5042
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Fax | 469-467-9419
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Provider Business Mailing Address
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Address Line | 3921 18TH ST
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City | PLANO
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State | TX
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Zip | 75074-7902
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Country | US
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Telephone | 972-839-5042
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Fax | 469-467-9419
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Authorized Official
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Title or Position | SPEECH-LANGUAGE PATHOLOGIST/OWNER
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Name | JENNIFER JOY PIKE
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Credential | CCC-SLP
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Telephone | 972-839-5042
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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 | 100709
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License Number State | TX
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