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General NPI Number Information
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NPI Number | 1730663345
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Entity Type | Individual
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Provider Name | TANCY ADAMS HERSCHAP
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Gender | Female
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Dates
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Enumeration Date | 09/19/2018
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Last Update Date | 09/19/2018
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Provider Practice Location Address
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Address Line | 219 N KING ST
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City | ALICE
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State | TX
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Zip | 78332-4841
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Country | US
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Telephone | 361-661-0748
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Fax | 361-661-0746
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Provider Business Mailing Address
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Address Line | PO BOX 642
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City | ORANGE GROVE
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State | TX
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Zip | 78372-0642
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Country | US
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Telephone | 361-290-0679
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Fax | 361-661-0746
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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 | 101263
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License Number State | TX
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