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General NPI Number Information
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NPI Number | 1487871521
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Entity Type | Individual
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Provider Name | CARA TERP FERGUSON M.S., CCC,SLP
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Gender | Female
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Dates
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Enumeration Date | 04/19/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 6200 N BRAESWOOD BLVD
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City | HOUSTON
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State | TX
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Zip | 77074-7536
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Country | US
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Telephone | 713-776-3654
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Fax |
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Provider Business Mailing Address
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Address Line | 5927 SANFORD RD
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City | HOUSTON
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State | TX
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Zip | 77096-5836
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Country | US
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Telephone | 713-728-3222
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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 | 100388
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License Number State | TX
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