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General NPI Number Information
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NPI Number | 1528512241
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Entity Type | Organization
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Legal Business Name | KYLA M. SLAUGHTER
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Dates
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Enumeration Date | 08/10/2016
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Last Update Date | 08/10/2016
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Provider Practice Location Address
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Address Line | 2808 ELIZABETH CT
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City | LUCAS
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State | TX
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Zip | 75002-3716
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Country | US
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Telephone | 972-838-6240
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Fax |
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Provider Business Mailing Address
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Address Line | 2730 COUNTRY CLUB RD SUITE G
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City | ALLEN
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State | TX
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Zip | 75002-8780
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Country | US
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Telephone | 987-283-8624
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Fax |
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Authorized Official
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Title or Position | SPEECH PATHOLOGIST/OWNER
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Name | MRS. KYLA MICHELLE SLAUGHTER
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Credential | M.S., CCC-SLP
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Telephone | 972-838-6240
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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 | 19090
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License Number State | TX
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