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General NPI Number Information
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NPI Number | 1467185421
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Entity Type | Individual
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Provider Name | JULIANA FARRAGE
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Gender | Female
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Dates
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Enumeration Date | 07/07/2022
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Last Update Date | 10/21/2022
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Provider Practice Location Address
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Address Line | 5020 KELVIN DR
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City | HOUSTON
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State | TX
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Zip | 77005-2533
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Country | US
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Telephone | 281-819-6943
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Fax |
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Provider Business Mailing Address
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Address Line | 3623 W ALABAMA ST APT 409
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City | HOUSTON
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State | TX
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Zip | 77027-5930
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Country | US
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Telephone | 859-619-7601
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 119050
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License Number State | TX
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