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General NPI Number Information
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NPI Number | 1790371748
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Entity Type | Individual
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Provider Name | ELIZABETH CONTRERAS LORETO BS, SLP-ASSISTANT
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Gender | Female
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Dates
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Enumeration Date | 12/14/2020
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Last Update Date | 05/30/2025
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Provider Practice Location Address
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Address Line | 327 W 3RD ST
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City | MERCEDES
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State | TX
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Zip | 78570-3105
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Country | US
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Telephone | 956-565-9686
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Fax |
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Provider Business Mailing Address
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Address Line | 10713 N BAYLIE BEAR DR
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City | EDINBURG
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State | TX
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Zip | 78541-2075
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Country | US
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Telephone | 509-910-9293
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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 | 2355S0801X
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Taxonomy Name | Speech-Language Assistant
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License Number | 41643
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License Number State | TX
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