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General NPI Number Information
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NPI Number | 1710212139
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Entity Type | Organization
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Legal Business Name | THERAPEUTIC SPEECH AND LANGUAGE ASSOCIATES
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Dates
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Enumeration Date | 10/04/2009
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Last Update Date | 10/04/2009
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Provider Practice Location Address
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Address Line | 2307 BENWICK DR
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City | CORINTH
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State | TX
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Zip | 76210-6487
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Country | US
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Telephone | 469-867-7558
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Fax |
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Provider Business Mailing Address
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Address Line | 2307 BENWICK DR
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City | CORINTH
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State | TX
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Zip | 76210-6487
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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 | OWNER, SPEECH PATHOLOGIST
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Name | CYNTHIA T HAYDEN
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Credential | MS CCC-SLP
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Telephone | 469-867-7558
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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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