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General NPI Number Information
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NPI Number | 1699254946
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Entity Type | Individual
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Provider Name | VALERIE ANN CORTEZ M.S SLP-CCC
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Gender | Female
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Dates
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Enumeration Date | 08/08/2018
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Last Update Date | 08/08/2018
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Provider Practice Location Address
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Address Line | 1 OWL SQ
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City | ODEM
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State | TX
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Zip | 78370-4388
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Country | US
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Telephone | 361-368-3881
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Fax |
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Provider Business Mailing Address
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Address Line | 109 MOSS
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City | ODEM
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State | TX
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Zip | 78370-4427
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Country | US
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Telephone | 361-389-2282
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 112924
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License Number State | TX
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