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NPI 1467065268

NPI 1467065268 : MAIN STEP THERAPY LLC : PROSPER, TX

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General NPI Number Information
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    NPI Number           |    1467065268
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    Entity Type          |    Organization 
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    Legal Business Name  |    MAIN STEP THERAPY LLC 
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Dates
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    Enumeration Date     |    08/31/2020
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    Last Update Date     |    12/05/2025
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Provider Practice Location Address
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    Address Line         |    140 S PRESTON RD STE 20 
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    City                 |    PROSPER
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    State                |    TX
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    Zip                  |    75078-3069
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    Country              |    US
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    Telephone            |    469-214-5898
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    Fax                  |    469-731-4714
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Provider Business Mailing Address
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    Address Line         |    12214 MAPLECREST DR 
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    City                 |    FRISCO
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    State                |    TX
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    Zip                  |    75035-0908
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    Country              |    US
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    Telephone            |    602-369-0251
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     RIFFAT  REHMAN 
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    Credential           |    MS CCC SLP
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    Telephone            |    602-369-0251
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    261QH0700X
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    Taxonomy Name        |    Hearing and Speech Clinic/Center
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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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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