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General NPI Number Information
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NPI Number | 1518248749
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Entity Type | Organization
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Legal Business Name | NEW BEGINNING PEDIATRIC THERAPY / ACADEMIC ACHIEVEMENT
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Dates
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Enumeration Date | 09/01/2011
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Last Update Date | 09/01/2011
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Provider Practice Location Address
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Address Line | 1609 VICKSBURG DR
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City | MESQUITE
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State | TX
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Zip | 75181-4601
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Country | US
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Telephone | 972-222-7808
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Fax |
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Provider Business Mailing Address
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Address Line | 603 S BRYAN BELT LINE RD
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City | MESQUITE
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State | TX
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Zip | 75149-5032
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Country | US
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Telephone | 972-222-7808
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. DAWN MARIE MONTEMAYOR
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Credential |
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Telephone | 972-222-7808
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 231HA2400X
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Taxonomy Name | Assistive Technology Practitioner Audiologist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 2355A2700X
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Taxonomy Name | Audiology Assistant
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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