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General NPI Number Information
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NPI Number | 1568840999
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Entity Type | Organization
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Legal Business Name | SPEECH MONSTER LLC
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Dates
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Enumeration Date | 05/18/2015
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Last Update Date | 01/04/2016
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Provider Practice Location Address
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Address Line | 10130 GRANT RD SUITE 218
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City | HOUSTON
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State | TX
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Zip | 77070-4531
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Country | US
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Telephone | 281-807-6325
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Fax |
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Provider Business Mailing Address
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Address Line | 10130 GRANT RD #218
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City | HOUSTON
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State | TX
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Zip | 77070-4531
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Country | US
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Telephone | 281-807-6325
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Fax |
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Authorized Official
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Title or Position | OWNER, CHIEF EXECUTIVE
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Name | MR. MITCHELL STONER MATSON
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Credential |
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Telephone | 281-807-6325
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0400X
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Taxonomy Name | Rehabilitation Clinic/Center
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License Number | 102175
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License Number State | TX
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