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General NPI Number Information
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NPI Number | 1750016127
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Entity Type | Individual
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Provider Name | HANNAH RAE ALMANZA I
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Gender | Female
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Dates
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Enumeration Date | 07/20/2022
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Last Update Date | 07/20/2022
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Provider Practice Location Address
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Address Line | 3213 RIVER PARK LN S APT 1215
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City | FORT WORTH
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State | TX
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Zip | 76116-1156
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Country | US
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Telephone | 432-288-4362
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Fax |
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Provider Business Mailing Address
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Address Line | 3213 RIVER PARK LN S APT 1215
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City | FORT WORTH
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State | TX
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Zip | 76116-1156
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Country | US
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Telephone | 432-288-4362
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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 | 120033
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License Number State | TX
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