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General NPI Number Information
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NPI Number | 1649546466
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Entity Type | Organization
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Legal Business Name | SPANGLER SPEECH THERAPY PLLC
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Dates
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Enumeration Date | 03/26/2012
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Last Update Date | 12/04/2012
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Provider Practice Location Address
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Address Line | 6217 HIGHWAY 183
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City | CISCO
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State | TX
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Zip | 76437-6517
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Country | US
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Telephone | 325-668-9784
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Fax | 254-442-2308
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Provider Business Mailing Address
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Address Line | 6217 HIGHWAY 183
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City | CISCO
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State | TX
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Zip | 76437-6517
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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 | SPEECH LANGUAGE PATHOLOGIST
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Name | MANDI R SPANGLER
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Credential | MS, CCC/SLP
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Telephone | 325-668-9784
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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 | 24737
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License Number State | TX
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