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General NPI Number Information
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NPI Number | 1609512391
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Entity Type | Individual
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Provider Name | ALICIA FAYE FIELD
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Gender | Female
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Dates
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Enumeration Date | 05/06/2022
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Last Update Date | 05/06/2022
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Provider Practice Location Address
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Address Line | 8650 MARTOP RD
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City | AUBREY
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State | TX
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Zip | 76227-3862
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Country | US
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Telephone | 972-347-7050
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Fax |
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Provider Business Mailing Address
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Address Line | 651 COMANCHE CIR
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City | SHADY SHORES
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State | TX
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Zip | 76208-5167
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Country | US
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Telephone | 972-897-2895
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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 | 2355S0801X
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Taxonomy Name | Speech-Language Assistant
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License Number | 35908
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License Number State | UT
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