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General NPI Number Information
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NPI Number | 1528314291
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Entity Type | Individual
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Provider Name | WENDY LYNN FLORUS M.S. CCC-SLP
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Gender | Female
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Dates
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Enumeration Date | 07/31/2012
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Last Update Date | 11/28/2022
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Provider Practice Location Address
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Address Line | 515 W MAIN ST
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City | WEIMAR
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State | TX
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Zip | 78962-1907
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Country | US
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Telephone | 979-725-6009
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 244
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City | FLATONIA
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State | TX
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Zip | 78941-0244
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Country | US
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Telephone | 979-733-6534
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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 | 106882
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License Number State | TX
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