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General NPI Number Information
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NPI Number | 1629134572
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Entity Type | Individual
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Provider Name | CHARLETHA CARR ISAAC MSCCCSLP
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Gender | Female
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Dates
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Enumeration Date | 12/28/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 2743 SMITH RANCH RD STE 109
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City | PEARLAND
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State | TX
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Zip | 77584-5205
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Country | US
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Telephone | 713-703-1057
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Fax | 281-412-2651
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Provider Business Mailing Address
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Address Line | 910 N WELLSFORD DR
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City | PEARLAND
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State | TX
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Zip | 77584-7625
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Country | US
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Telephone | 713-703-1057
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Fax | 281-412-2651
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 101281
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License Number State | TX
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