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NPI 1790779668

NPI 1790779668 : DENISE ANN SLANICKY AUD : HOUSTON, TX

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General NPI Number Information
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    NPI Number           |    1790779668
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    Entity Type          |    Individual 
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    Provider Name        |    DENISE ANN SLANICKY AUD
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    09/07/2005
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    Last Update Date     |    06/27/2024
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Provider Practice Location Address
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    Address Line         |    6701 FANNIN ST 
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    City                 |    HOUSTON
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    State                |    TX
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    Zip                  |    77030-2608
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    Country              |    US
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    Telephone            |    832-828-3660
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    Fax                  |    832-825-9187
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Provider Business Mailing Address
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    Address Line         |    3100 SHENANDOAH ST # 150 
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    City                 |    HOUSTON
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    State                |    TX
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    Zip                  |    77021-1042
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    Country              |    US
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    Telephone            |    281-661-4858
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    Fax                  |    281-766-5117
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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        |    231H00000X
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    Taxonomy Name        |    Audiologist
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    License Number       |    51086
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    License Number State |    TX
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