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General NPI Number Information
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NPI Number | 1639024979
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Entity Type | Organization
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Legal Business Name | VALIANCE SPEECH-LANGUAGE PATHOLOGY PLLC
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Dates
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Enumeration Date | 03/02/2026
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Last Update Date | 03/02/2026
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Provider Practice Location Address
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Address Line | 1314 OSNATS PT
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City | SAN ANTONIO
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State | TX
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Zip | 78258-6931
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Country | US
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Telephone | 323-394-2325
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Fax |
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Provider Business Mailing Address
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Address Line | 1314 OSNATS PT
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City | SAN ANTONIO
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State | TX
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Zip | 78258-6931
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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
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Name | VINCENT OMICTIN
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Credential |
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Telephone | 323-394-2325
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical 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 |
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License Number State |
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