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General NPI Number Information
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NPI Number | 1609148725
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Entity Type | Organization
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Legal Business Name | RFJ THERAPY GROUP LLC
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Dates
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Enumeration Date | 02/05/2012
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Last Update Date | 02/05/2012
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Provider Practice Location Address
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Address Line | 15902 LAND VIEW DR
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City | HOUSTON
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State | TX
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Zip | 77073-5550
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Country | US
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Telephone | 832-452-3894
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Fax | 832-436-4184
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Provider Business Mailing Address
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Address Line | 15902 LAND VIEW DR
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City | HOUSTON
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State | TX
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Zip | 77073-5550
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Country | US
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Telephone | 832-452-3894
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Fax | 832-436-4184
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Authorized Official
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Title or Position | PRESIDENT
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Name | RITA ANDERSON
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Credential |
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Telephone | 832-452-3894
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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 | 101038
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License Number State | TX
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