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General NPI Number Information
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NPI Number | 1619760287
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Entity Type | Individual
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Provider Name | REBECCA CHEATHAM ATP
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Gender | Female
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Dates
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Enumeration Date | 05/27/2025
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Last Update Date | 12/15/2025
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Provider Practice Location Address
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Address Line | 803 GALLAGHER DR
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City | SHERMAN
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State | TX
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Zip | 75090-1750
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Country | US
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Telephone | 903-747-1644
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Fax | 903-408-6441
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Provider Business Mailing Address
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Address Line | 3419 CEDAR LN
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City | MELISSA
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State | TX
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Zip | 75454-3304
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Country | US
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Telephone | 214-725-6384
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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 | 231HA2400X
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Taxonomy Name | Assistive Technology Practitioner Audiologist
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License Number | 99996
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 225CA2400X
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Taxonomy Name | Assistive Technology Practitioner Rehabilitation Counselor
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License Number | 99996
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License Number State | TX
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