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General NPI Number Information
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NPI Number | 1497051882
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Entity Type | Organization
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Legal Business Name | THERAPEUTIC SPEECH AND LANGUAGE ASSOCIATES, PC
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Dates
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Enumeration Date | 02/01/2011
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Last Update Date | 02/01/2011
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Provider Practice Location Address
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Address Line | 304 COIT RD SUITE 900
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City | PLANO
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State | TX
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Zip | 75075-5721
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Country | US
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Telephone | 469-867-7558
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Fax | 469-433-0213
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Provider Business Mailing Address
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Address Line | PO BOX 866863
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City | PLANO
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State | TX
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Zip | 75086-6863
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Country | US
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Telephone | 214-497-5684
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Fax | 469-433-0213
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Authorized Official
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Title or Position | SPEECH THERAPIST
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Name | CINDY HAYDEN
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Credential |
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Telephone | 469-867-7558
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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 | 19607
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License Number State | TX
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