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General NPI Number Information
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NPI Number | 1467892471
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Entity Type | Individual
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Provider Name | CHERIE PRYSESKI B.S.
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Gender | Female
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Dates
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Enumeration Date | 07/05/2013
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Last Update Date | 07/05/2013
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Provider Practice Location Address
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Address Line | 1400 N. LOCUST DRIVE
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City | DENTON
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State | TX
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Zip | 76201
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Country | US
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Telephone | 940-383-2721
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Fax |
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Provider Business Mailing Address
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Address Line | 3901 DEER FOREST DRIVE
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City | DENTON
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State | TX
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Zip | 76208
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Country | US
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Telephone | 940-395-4945
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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 | 37661
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License Number State | TX
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