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General NPI Number Information
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NPI Number | 1720302888
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Entity Type | Individual
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Provider Name | REBECCA JOY LEMONS M.S., CCC-SLP
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Gender | Female
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Dates
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Enumeration Date | 03/18/2010
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Last Update Date | 03/18/2010
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Provider Practice Location Address
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Address Line | 611 W STATE HIGHWAY 6 SUITE 115
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City | WACO
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State | TX
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Zip | 76710-7544
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Country | US
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Telephone | 254-399-8255
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Fax | 254-235-3408
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Provider Business Mailing Address
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Address Line | 611 W STATE HIGHWAY 6 SUITE 115
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City | WACO
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State | TX
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Zip | 76710-7544
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Country | US
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Telephone | 254-399-8255
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Fax | 254-235-3408
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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 | 103868
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License Number State | TX
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