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General NPI Number Information
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NPI Number | 1649750001
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Entity Type | Individual
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Provider Name | CELEST ALDRICH CCC-SLP
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Gender | Female
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Dates
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Enumeration Date | 08/15/2018
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Last Update Date | 01/30/2026
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Provider Practice Location Address
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Address Line | 29620 I-10 SUITE 101
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City | BOERNE
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State | TX
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Zip | 78006-8546
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Country | US
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Telephone | 210-832-5226
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Fax |
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Provider Business Mailing Address
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Address Line | 129 SERENITY DR
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City | BOERNE
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State | TX
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Zip | 78006-1651
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Country | US
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Telephone | 704-904-7366
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 120526
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License Number State | TX
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