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General NPI Number Information
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NPI Number | 1679851869
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Entity Type | Organization
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Legal Business Name | THERAPY FOR SUCCESS, INC
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Dates
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Enumeration Date | 07/22/2011
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Last Update Date | 07/22/2011
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Provider Practice Location Address
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Address Line | 5365 HUNTERS CREEK TRL
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City | FRISCO
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State | TX
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Zip | 75034-1713
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Country | US
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Telephone | 972-505-8335
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Fax | 469-362-2954
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Provider Business Mailing Address
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Address Line | 5365 HUNTERS CREEK TRL
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City | FRISCO
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State | TX
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Zip | 75034-1713
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Country | US
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Telephone | 972-505-8335
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Fax | 469-362-2954
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | KARI DEWEESE
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Credential | M.S., CCC-SLP
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Telephone | 972-505-8335
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 103509
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License Number State | TX
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