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General NPI Number Information
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NPI Number | 1629475728
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Entity Type | Organization
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Legal Business Name | WORD FOR WORD THERAPY SERVICES
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Dates
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Enumeration Date | 12/04/2014
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Last Update Date | 12/04/2014
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Provider Practice Location Address
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Address Line | 1501 LIBERTY LN
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City | MESQUITE
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State | TX
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Zip | 75149-1675
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Country | US
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Telephone | 214-995-5001
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Fax |
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Provider Business Mailing Address
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Address Line | 1501 LIBERTY LN
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City | MESQUITE
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State | TX
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Zip | 75149-1675
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER/SPEECH-LANGUAGE PATHOLOGIST
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Name | VENUS WILLIAMS-BROWN
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Credential |
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Telephone | 214-995-5001
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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 | 101699
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License Number State | TX
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