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NPI 1710867296

NPI 1710867296 : JACQUELINE ESCOBAR SLP-CF : SAN ANTONIO, TX

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General NPI Number Information
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    NPI Number           |    1710867296
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    Entity Type          |    Individual 
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    Provider Name        |    JACQUELINE ESCOBAR SLP-CF
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    09/04/2025
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    Last Update Date     |    09/04/2025
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Provider Practice Location Address
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    Address Line         |    1211 ARCADIA PATH 
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    City                 |    SAN ANTONIO
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    State                |    TX
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    Zip                  |    78245
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    Country              |    US
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    Telephone            |    210-448-9111
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    6611 SWISS OAKS 
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    City                 |    SAN ANTONIO
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    State                |    TX
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    Zip                  |    78227-1267
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    Country              |    US
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    Telephone            |    210-514-6269
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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       |    124332
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    License Number State |    TX
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