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General NPI Number Information
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NPI Number | 1467058289
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Entity Type | Organization
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Legal Business Name | TEXAS SPEECH PATHWAYS PLLC
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Dates
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Enumeration Date | 12/07/2020
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Last Update Date | 12/05/2025
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Provider Practice Location Address
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Address Line | 3851 FM 663
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City | MIDLOTHIAN
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State | TX
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Zip | 76065-5606
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Country | US
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Telephone | 469-550-9913
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Fax | 469-461-0765
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Provider Business Mailing Address
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Address Line | 3851 FM 663
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City | MIDLOTHIAN
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State | TX
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Zip | 76065-5606
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Country | US
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Telephone | 469-550-9913
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DANIELLE BROADWAY
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Credential |
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Telephone | 214-727-3752
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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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