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General NPI Number Information
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NPI Number | 1801210505
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Entity Type | Organization
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Legal Business Name | LONE STAR DAY PROGRAM
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Dates
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Enumeration Date | 02/17/2014
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Last Update Date | 09/23/2025
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Provider Practice Location Address
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Address Line | 14623 FM 849
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City | LINDALE
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State | TX
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Zip | 75771-2440
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Country | US
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Telephone | 903-520-6243
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Fax | 903-496-0298
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Provider Business Mailing Address
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Address Line | PO BOX 1168
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City | LINDALE
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State | TX
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Zip | 75771-1168
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Country | US
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Telephone | 903-520-6243
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Fax | 903-496-0298
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Authorized Official
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Title or Position | OWNER
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Name | KIM BUTLER
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Credential | RN
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Telephone | 903-520-6243
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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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Taxonomy #2
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Taxonomy Code | 261QD1600X
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Taxonomy Name | Developmental Disabilities Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State |
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