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General NPI Number Information
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NPI Number | 1639447147
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Entity Type | Individual
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Provider Name | TESIA CHOI M.S.,CCC-SLP
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Gender | Female
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Dates
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Enumeration Date | 12/12/2011
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Last Update Date | 02/02/2023
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Provider Practice Location Address
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Address Line | 3712 OLD DENTON RD STE 114
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City | CARROLLTON
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State | TX
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Zip | 75007-2813
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Country | US
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Telephone | 214-514-0236
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Fax |
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Provider Business Mailing Address
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Address Line | 1830 MEADOW CREST DR
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City | GRAPEVINE
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State | TX
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Zip | 76051-7060
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Country | US
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Telephone | 214-514-0236
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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 | 108527
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License Number State | TX
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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 | 36648
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 30070
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License Number State | CA
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Taxonomy #4
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 108527
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License Number State | TX
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