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General NPI Number Information
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NPI Number | 1588071880
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Entity Type | Individual
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Provider Name | ELIZABETH MCCRACKEN M.S. SLP-CFY
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Gender | Female
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Dates
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Enumeration Date | 07/18/2014
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Last Update Date | 07/18/2014
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Provider Practice Location Address
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Address Line | 806 BALTIMORE DR
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City | HEREFORD
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State | TX
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Zip | 79045-6322
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Country | US
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Telephone | 806-681-4456
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Fax |
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Provider Business Mailing Address
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Address Line | 806 BALTIMORE DR
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City | HEREFORD
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State | TX
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Zip | 79045-6322
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Country | US
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Telephone |
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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 | 108969
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License Number State | TX
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