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General NPI Number Information
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NPI Number | 1548028681
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Entity Type | Organization
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Legal Business Name | JOYFUL JOURNEY PEDIATRIC SPEECH AND FEEDING THERAPY, PLLC
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Dates
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Enumeration Date | 03/12/2024
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Last Update Date | 03/20/2024
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Provider Practice Location Address
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Address Line | 3812 ISLAND CT
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City | CARROLLTON
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State | TX
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Zip | 75007-6306
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Country | US
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Telephone | 214-552-0950
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Fax |
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Provider Business Mailing Address
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Address Line | 18383 PRESTON RD STE 202
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City | DALLAS
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State | TX
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Zip | 75252-5487
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Country | US
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Telephone | 469-213-8455
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Fax | 469-574-5152
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Authorized Official
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Title or Position | OWNER
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Name | TANYA MICHELLE RAINEY
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Credential | M.S., CCC-SLP
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Telephone | 469-213-8455
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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 |
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License Number State |
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