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General NPI Number Information
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NPI Number | 1780480699
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Entity Type | Organization
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Legal Business Name | TX-THERAPY LLC
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Dates
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Enumeration Date | 02/21/2025
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Last Update Date | 02/21/2025
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Provider Practice Location Address
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Address Line | 307 JUNIPER ST
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City | LAKE JACKSON
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State | TX
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Zip | 77566-5029
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Country | US
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Telephone | 979-451-9071
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Fax |
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Provider Business Mailing Address
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Address Line | 307 JUNIPER ST
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City | LAKE JACKSON
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State | TX
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Zip | 77566-5029
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Country | US
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Telephone | 979-451-9071
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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 | KRISTEN THOMSON
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Credential | M.S. CCC/SLP
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Telephone | 979-451-9071
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0700X
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Taxonomy Name | Hearing and Speech Clinic/Center
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License Number |
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License Number State |
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