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General NPI Number Information
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NPI Number | 1558311662
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Entity Type | Organization
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Legal Business Name | CHERYL E. WANEK
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Dates
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Enumeration Date | 05/11/2006
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Last Update Date | 07/17/2008
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Provider Practice Location Address
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Address Line | 5211 N MCCOLL RD
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City | MCALLEN
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State | TX
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Zip | 78504-2202
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Country | US
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Telephone | 956-630-6112
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Fax | 956-683-9504
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Provider Business Mailing Address
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Address Line | 5211 N MCCOLL
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City | MCALLEN
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State | TX
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Zip | 78504-2202
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Country | US
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Telephone | 956-630-6112
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Fax | 956-683-9504
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Authorized Official
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Title or Position | OWNER
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Name | MRS. CHERYL E. WANEK
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Credential | L.P.T.
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Telephone | 956-630-6112
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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 | 18609
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 103428
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 2251P0200X
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Taxonomy Name | Pediatric Physical Therapist
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License Number | 1051456
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License Number State | TX
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