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General NPI Number Information
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NPI Number | 1659503985
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Entity Type | Organization
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Legal Business Name | THERAPY LINCS
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Dates
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Enumeration Date | 08/20/2009
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Last Update Date | 05/03/2010
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Provider Practice Location Address
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Address Line | 2108 W ADAMS AVE
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City | TEMPLE
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State | TX
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Zip | 76504-3918
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Country | US
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Telephone | 254-709-8847
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Fax | 254-857-8867
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Provider Business Mailing Address
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Address Line | 2108 W ADAMS AVE
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City | TEMPLE
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State | TX
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Zip | 76504-3918
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Country | US
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Telephone | 254-771-5462
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Fax | 254-771-5463
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Authorized Official
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Title or Position | PRESIDENT/OWNER
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Name | MRS. REBEKAH GAYLE FAULKINBERRY
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Credential | M.S., CCC/SLP
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Telephone | 254-709-8847
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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 | 100955
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License Number State | TX
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