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General NPI Number Information
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NPI Number | 1578864419
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Entity Type | Individual
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Provider Name | ELIZABETH JEAN TODD M.S., CCC-SLP
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Gender | Female
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Dates
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Enumeration Date | 11/09/2010
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Last Update Date | 01/28/2022
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Provider Practice Location Address
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Address Line | 1425 CASSANDRA CIR
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City | DESOTO
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State | TX
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Zip | 75115-3010
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Country | US
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Telephone | 214-402-4469
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Fax |
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Provider Business Mailing Address
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Address Line | 3851 FM 663
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City | MIDLOTHIAN
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State | TX
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Zip | 76065-5606
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Country | US
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Telephone | 214-402-4469
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 10113
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License Number State | TX
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