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General NPI Number Information
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NPI Number | 1760873657
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Entity Type | Organization
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Legal Business Name | MONARCH THERAPY LLC
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Dates
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Enumeration Date | 02/12/2015
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Last Update Date | 02/12/2015
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Provider Practice Location Address
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Address Line | 6660 RUXTON LN
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City | AUSTIN
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State | TX
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Zip | 78749-4101
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Country | US
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Telephone | 512-593-1530
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 163632
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City | AUSTIN
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State | TX
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Zip | 78716-3632
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | SPEECH LANGUAGE PATHOLOGIST
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Name | ANDREA HUGHES
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Credential | M.A., CCC-SLP
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Telephone | 512-593-1530
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 102054
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License Number State | TX
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