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General NPI Number Information
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NPI Number | 1568707230
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Entity Type | Organization
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Legal Business Name | CPL INDUSTRIES, LLC
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Dates
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Enumeration Date | 12/06/2012
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Last Update Date | 06/20/2018
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Provider Practice Location Address
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Address Line | 2106 HOLMAN ST SUITE A
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City | HOUSTON
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State | TX
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Zip | 77004-4240
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Country | US
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Telephone | 713-364-2344
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Fax |
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Provider Business Mailing Address
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Address Line | P.O. BOX 667566
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City | HOUSTON
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State | TX
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Zip | 77266
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Country | UM
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Telephone | 713-364-2344
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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 | LATIA PACELY
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Credential | MS, CCC/SLP
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Telephone | 713-364-2344
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 102090
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License Number State | TX
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