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General NPI Number Information
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NPI Number | 1619162849
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Entity Type | Organization
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Legal Business Name | CHILDREN'S LANGUAGE DEVELOPMENT CENTER
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Dates
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Enumeration Date | 09/11/2007
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Last Update Date | 03/06/2026
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Provider Practice Location Address
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Address Line | 4108 W SPRING CREEK PKWY STE E300A
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City | PLANO
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State | TX
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Zip | 75024-5233
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Country | US
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Telephone | 972-964-1500
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Fax | 972-964-1200
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Provider Business Mailing Address
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Address Line | 4108 W SPRING CREEK PKWY STE E300A
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City | PLANO
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State | TX
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Zip | 75024-5233
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Country | US
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Telephone | 972-964-1500
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Fax | 972-964-1200
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Authorized Official
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Title or Position | OWNER
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Name | TINA BOIKE
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Credential |
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Telephone | 972-964-1500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 12908
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License Number State | TX
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