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General NPI Number Information
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NPI Number | 1467000562
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Entity Type | Organization
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Legal Business Name | FTFSLP LLC
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Dates
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Enumeration Date | 09/01/2019
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Last Update Date | 09/15/2020
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Provider Practice Location Address
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Address Line | 4800 US HIGHWAY 377 S. BUILDING 400
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City | AUBREY
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State | TX
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Zip | 76227
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Country | US
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Telephone | 214-908-2401
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Fax | 940-403-7575
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Provider Business Mailing Address
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Address Line | 611 RUBY CV
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City | OAK POINT
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State | TX
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Zip | 75068-2254
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Country | US
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Telephone | 214-908-2401
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Fax | 940-403-7575
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Authorized Official
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Title or Position | OWNER
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Name | MRS. VANESSA MARIE ALSABROOK
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Credential | MS CCC SLP
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Telephone | 214-908-2401
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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 |
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License Number State |
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