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General NPI Number Information
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NPI Number | 1780106583
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Entity Type | Organization
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Legal Business Name | UPLIFT REHAB, PLLC
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Dates
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Enumeration Date | 07/13/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 750 COUNTY ROAD 413
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City | LLANO
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State | TX
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Zip | 78643-3142
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Country | US
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Telephone | 806-773-2284
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Fax |
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Provider Business Mailing Address
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Address Line | 750 COUNTY ROAD 413
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City | LLANO
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State | TX
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Zip | 78643-3142
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Country | US
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Telephone | 806-773-2284
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Fax |
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Authorized Official
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Title or Position | OWNER/SPEECH-LANGUAGE PATHOLOGIST
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Name | MS. LEILA GREEN LITTLE
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Credential | SLP, CLT
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Telephone | 806-773-2284
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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 | 107919
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License Number State | TX
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