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General NPI Number Information
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NPI Number | 1568834638
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Entity Type | Organization
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Legal Business Name | HABLA SPEECH THERAPY, PLLC
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Dates
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Enumeration Date | 10/28/2015
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Last Update Date | 10/28/2015
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Provider Practice Location Address
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Address Line | 624 DUCK CREEK WAY
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City | SUNNYVALE
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State | TX
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Zip | 75182-9392
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Country | US
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Telephone | 972-638-7286
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Fax | 972-499-1334
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Provider Business Mailing Address
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Address Line | 624 DUCK CREEK WAY
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City | SUNNYVALE
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State | TX
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Zip | 75182-9392
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Country | US
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Telephone | 972-638-7286
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Fax |
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Authorized Official
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Title or Position | DIRECTOR OF THERAPY
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Name | PAMELA TORRES
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Credential | M.S., CCC-SLP
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Telephone | 972-638-7286
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2251P0200X
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Taxonomy Name | Pediatric 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 | 225XP0200X
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Taxonomy Name | Pediatric Occupational Therapist
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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 | 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 #4
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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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