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General NPI Number Information
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NPI Number | 1548960701
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Entity Type | Organization
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Legal Business Name | DIAGNOSTIC ASSESSMENT SERVICES, INC.
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Dates
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Enumeration Date | 03/07/2023
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Last Update Date | 08/01/2023
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Provider Practice Location Address
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Address Line | 4100 ALPHA RD STE 1150
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City | DALLAS
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State | TX
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Zip | 75244-4335
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Country | US
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Telephone | 972-243-4102
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Fax |
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Provider Business Mailing Address
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Address Line | 4100 ALPHA RD STE 1150
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City | DALLAS
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State | TX
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Zip | 75244-4335
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Country | US
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Telephone | 972-243-4102
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Fax |
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Authorized Official
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Title or Position | SPEECH LANGUAGE PATHOLOGIST
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Name | TAMALA CLOSE
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Credential | MS,CCC-SLP
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Telephone | 214-336-3123
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 2355S0801X
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Taxonomy Name | Speech-Language Assistant
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License Number |
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License Number State |
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Taxonomy #5
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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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