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General NPI Number Information
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NPI Number | 1508111220
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Entity Type | Individual
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Provider Name | ISOLDE MARGUERETTE MORALES
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Gender | Female
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Dates
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Enumeration Date | 07/18/2012
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Last Update Date | 02/28/2025
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Provider Practice Location Address
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Address Line | 12300 ROJAS DRIVE
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City | EL PASO
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State | TX
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Zip | 79927-5395
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Country | US
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Telephone | 915-379-0000
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Fax |
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Provider Business Mailing Address
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Address Line | 10900 VISTA DEL SOL DR
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City | EL PASO
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State | TX
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Zip | 79935-3714
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Country | US
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Telephone | 915-355-2070
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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 | 105147
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License Number State | TX
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