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General NPI Number Information
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NPI Number | 1780361931
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Entity Type | Individual
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Provider Name | KORI LEWIS SLP
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Gender | Female
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Dates
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Enumeration Date | 06/29/2023
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Last Update Date | 12/08/2025
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Provider Practice Location Address
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Address Line | 250 SCHOOL ST
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City | TOMBALL
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State | TX
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Zip | 77375-4701
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Country | US
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Telephone | 281-516-7929
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Fax |
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Provider Business Mailing Address
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Address Line | 12323 N GESSNER RD APT 1728
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City | HOUSTON
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State | TX
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Zip | 77064-7687
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Country | US
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Telephone | 214-862-5959
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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 | 121004
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License Number State | TX
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