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General NPI Number Information
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NPI Number | 1649993197
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Entity Type | Organization
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Legal Business Name | COPPELL SPEECH THERAPY
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Dates
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Enumeration Date | 09/20/2022
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Last Update Date | 09/29/2022
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Provider Practice Location Address
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Address Line | 260 N DENTON TAP RD
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City | COPPELL
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State | TX
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Zip | 75019-2142
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Country | US
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Telephone | 214-833-1797
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Fax |
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Provider Business Mailing Address
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Address Line | 260 N DENTON TAP RD STE 295
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City | COPPELL
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State | TX
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Zip | 75019-2147
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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 | CEO
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Name | ROSA ELKURD
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Credential |
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Telephone | 214-833-1797
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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 |
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License Number State |
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