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General NPI Number Information
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NPI Number | 1669295341
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Entity Type | Organization
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Legal Business Name | MONARCH SPEECH THERAPY PLUS PLLC
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Dates
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Enumeration Date | 11/01/2024
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Last Update Date | 11/01/2024
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Provider Practice Location Address
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Address Line | 200 S 14TH ST STE 196
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City | MIDLOTHIAN
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State | TX
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Zip | 76065-3358
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Country | US
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Telephone | 469-612-6122
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Fax |
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Provider Business Mailing Address
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Address Line | 5634 LEANDER WAY
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City | MIDLOTHIAN
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State | TX
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Zip | 76065-8872
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Country | US
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Telephone | 469-612-6122
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Fax |
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Authorized Official
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Title or Position | AUTHORIZED OFFICIAL
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Name | SARAH ANN-MILLS EVANS
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Credential | M.A., CCC-SLP
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Telephone | 619-200-5647
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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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