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General NPI Number Information
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NPI Number | 1609280692
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Entity Type | Organization
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Legal Business Name | A TEMPO VOICE CENTER, LLC
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Dates
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Enumeration Date | 06/17/2014
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Last Update Date | 01/07/2015
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Provider Practice Location Address
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Address Line | 1250 8TH AVE STE 135
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City | FORT WORTH
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State | TX
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Zip | 76104-4156
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Country | US
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Telephone | 817-262-3773
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Fax |
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Provider Business Mailing Address
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Address Line | 6462 FORTUNE RD
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City | FORT WORTH
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State | TX
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Zip | 76116-7318
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Country | US
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Telephone | 817-262-3773
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Fax |
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Authorized Official
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Title or Position | SPEECH LANGUAGE PATHOLOGIST
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Name | MRS. KRISTIE REECE KNICKERBOCKER
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Credential | CCC-SLP
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Telephone | 817-262-3773
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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 | 107679
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License Number State | TX
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