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General NPI Number Information
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NPI Number | 1780071092
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Entity Type | Individual
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Provider Name | REBEKAH ANNE WEBB CCC-SLP
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Gender | Female
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Dates
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Enumeration Date | 04/24/2015
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Last Update Date | 04/24/2015
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Provider Practice Location Address
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Address Line | 2900 S LOOP 256
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City | PALESTINE
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State | TX
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Zip | 75801-6958
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Country | US
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Telephone | 903-731-5349
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Fax |
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Provider Business Mailing Address
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Address Line | 469 ANDERSON COUNTY ROAD 423
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City | PALESTINE
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State | TX
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Zip | 75803
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Country | US
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Telephone | 903-724-0351
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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 | 108561
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License Number State | TX
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