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General NPI Number Information
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NPI Number | 1528290038
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Entity Type | Individual
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Provider Name | WENDY MARIE HARMS
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Gender | Female
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Dates
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Enumeration Date | 08/17/2009
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Last Update Date | 08/17/2009
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Provider Practice Location Address
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Address Line | 1500 N CUMMINGS DR
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City | ALVARADO
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State | TX
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Zip | 76009-2704
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Country | US
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Telephone | 817-783-6863
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Fax |
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Provider Business Mailing Address
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Address Line | 8500 BEARTOOTH DR
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City | FRISCO
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State | TX
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Zip | 75034-8219
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Country | US
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Telephone | 402-650-0221
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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 | 105285
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License Number State | TX
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