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General NPI Number Information
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NPI Number | 1669369153
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Entity Type | Individual
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Provider Name | BRIANNA DE LA CRUZ SLP-ASSISTANT
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Gender | Female
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Dates
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Enumeration Date | 06/18/2025
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Last Update Date | 06/18/2025
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Provider Practice Location Address
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Address Line | 7001 N 10TH ST STE 201
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City | MCALLEN
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State | TX
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Zip | 78504-3342
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Country | US
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Telephone | 512-795-2422
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Fax |
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Provider Business Mailing Address
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Address Line | 12708 RIATA VISTA CIR STE A106
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City | AUSTIN
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State | TX
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Zip | 78727-7174
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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 |
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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 | 2355S0801X
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Taxonomy Name | Speech-Language Assistant
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License Number | 44580
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License Number State | TX
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