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General NPI Number Information
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NPI Number | 1790578318
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Entity Type | Organization
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Legal Business Name | PUREVOICE THERAPY PLLC
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Dates
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Enumeration Date | 05/27/2025
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Last Update Date | 05/27/2025
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Provider Practice Location Address
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Address Line | 925 GLENNDON DR
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City | FORT WORTH
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State | TX
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Zip | 76120-1394
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Country | US
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Telephone | 817-658-4115
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Fax |
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Provider Business Mailing Address
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Address Line | 1418 W PIPELINE RD # 238
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City | HURST
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State | TX
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Zip | 76053-4629
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MARQUITA ALLEN
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Credential | M.S., CCC-SLP
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Telephone | 817-658-4115
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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 |
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License Number State |
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