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General NPI Number Information
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NPI Number | 1508168626
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Entity Type | Individual
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Provider Name | BETH ALLISON MORGAN CCC-SLP, IBCLC
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Gender | Female
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Dates
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Enumeration Date | 11/22/2010
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Last Update Date | 02/07/2011
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Provider Practice Location Address
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Address Line | 6630 COLLEYVILLE BLVD STE 100
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City | COLLEYVILLE
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State | TX
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Zip | 76034-6272
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Country | US
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Telephone | 682-429-4411
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Fax | 817-421-1280
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Provider Business Mailing Address
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Address Line | 6630 COLLEYVILLE BLVD STE 100
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City | COLLEYVILLE
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State | TX
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Zip | 76034-6272
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Country | US
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Telephone | 682-429-4411
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Fax | 817-421-1280
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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 | 105261
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License Number State | TX
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