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General NPI Number Information
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NPI Number | 1538829650
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Entity Type | Individual
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Provider Name | JAMIE SEYKORA SLP
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Gender | Female
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Dates
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Enumeration Date | 12/30/2021
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Last Update Date | 11/21/2024
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Provider Practice Location Address
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Address Line | 1820 PEARL ST
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City | CARROLLTON
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State | TX
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Zip | 75006-6119
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Country | US
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Telephone | 214-736-2230
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Fax |
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Provider Business Mailing Address
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Address Line | 3381 BLACKBURN ST
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City | DALLAS
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State | TX
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Zip | 75204-1521
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Country | US
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Telephone | 940-282-9289
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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 | 37405012
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License Number State | TX
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