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General NPI Number Information
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NPI Number | 1568379998
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Entity Type | Organization
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Legal Business Name | THE ETHAN PROJECT OF TEXAS CORPORATION
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Dates
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Enumeration Date | 08/24/2026
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Last Update Date | 08/24/2026
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Provider Practice Location Address
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Address Line | 100 CROCKETT ST
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City | AMARILLO
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State | TX
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Zip | 79106-8346
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Country | US
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Telephone | 806-877-2459
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Fax | 806-367-5530
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Provider Business Mailing Address
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Address Line | 100 CROCKETT ST
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City | AMARILLO
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State | TX
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Zip | 79106-8346
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Country | US
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Telephone | 806-877-2459
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Fax | 806-367-5530
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Authorized Official
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Title or Position | CREDENTIALING/BILLING
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Name | CAROLYN SMITH
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Credential | CRED/BILLING
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Telephone | 806-674-5818
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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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