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General NPI Number Information
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NPI Number | 1710311899
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Entity Type | Individual
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Provider Name | SHANTERRI L MOORE
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Gender | Female
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Dates
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Enumeration Date | 08/26/2013
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Last Update Date | 02/18/2026
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Provider Practice Location Address
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Address Line | 2639 CALLAHAN SPRINGS LN
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City | HOUSTON
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State | TX
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Zip | 77051-1467
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Country | US
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Telephone | 682-249-9980
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Fax |
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Provider Business Mailing Address
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Address Line | 12371 S KIRKWOOD RD
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City | STAFFORD
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State | TX
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Zip | 77477-2836
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Country | US
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Telephone | 713-995-9292
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Fax | 713-779-0204
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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 | 106714
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License Number State | TX
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