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General NPI Number Information
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NPI Number | 1629783410
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Entity Type | Individual
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Provider Name | DEBORAH SUSAN OCHOA PALOMO BS SLPA
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Gender | Female
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Dates
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Enumeration Date | 01/17/2023
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Last Update Date | 01/17/2023
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Provider Practice Location Address
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Address Line | 930 W CENTERVILLE RD
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City | GARLAND
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State | TX
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Zip | 75041-5823
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Country | US
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Telephone | 972-303-7021
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Fax |
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Provider Business Mailing Address
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Address Line | 2413 SYLVAN DR
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City | GARLAND
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State | TX
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Zip | 75040-3364
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Country | US
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Telephone | 214-250-7226
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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 | 38310
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License Number State | TX
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