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General NPI Number Information
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NPI Number | 1477289809
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Entity Type | Organization
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Legal Business Name | FLOWER MOUND SPEECH THERAPY PLLC
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Dates
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Enumeration Date | 07/27/2022
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Last Update Date | 01/13/2023
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Provider Practice Location Address
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Address Line | 2221 JUSTIN RD STE 119-118
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City | FLOWER MOUND
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State | TX
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Zip | 75028-4848
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Country | US
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Telephone | 214-444-9627
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Fax |
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Provider Business Mailing Address
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Address Line | 2221 JUSTIN RD STE 119-118
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City | FLOWER MOUND
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State | TX
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Zip | 75028-4848
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Country | US
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Telephone | 214-444-9627
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MRS. ERICA BROWN
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Credential | MS, CCC/SLP
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Telephone | 214-444-9627
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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