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General NPI Number Information
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NPI Number | 1780823518
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Entity Type | Organization
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Legal Business Name | LEAPS IN LANGUAGE
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Dates
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Enumeration Date | 02/18/2009
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Last Update Date | 02/18/2009
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Provider Practice Location Address
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Address Line | 18096 KINGS ROW SUITE G
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City | HOUSTON
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State | TX
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Zip | 77058-3836
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Country | US
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Telephone | 281-957-9070
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Fax | 281-957-9102
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Provider Business Mailing Address
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Address Line | 18096 KINGS ROW SUITE G
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City | HOUSTON
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State | TX
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Zip | 77058-3836
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Country | US
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Telephone | 281-957-9070
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Fax | 281-957-9102
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Authorized Official
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Title or Position | OWNER
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Name | MRS. MELISSA G HERNANDEZ
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Credential | M.A CCC/SLP
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Telephone | 281-957-9070
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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 | 100484
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License Number State | TX
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