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General NPI Number Information
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NPI Number | 1811512221
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Entity Type | Organization
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Legal Business Name | THERAPY KIDS PC
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Dates
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Enumeration Date | 06/11/2020
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Last Update Date | 06/11/2020
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Provider Practice Location Address
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Address Line | 4500 MERCANTILE PLAZA DR STE 300
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City | FORT WORTH
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State | TX
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Zip | 76137-4206
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Country | US
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Telephone | 734-545-0237
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Fax |
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Provider Business Mailing Address
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Address Line | 4500 MERCANTILE PLAZA DR STE 300
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City | FORT WORTH
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State | TX
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Zip | 76137-4206
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Country | US
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Telephone | 734-545-0237
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Fax |
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Authorized Official
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Title or Position | CREDENTIALING
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Name | BETH SCHLEEPER
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Credential |
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Telephone | 602-246-0721
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0700X
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Taxonomy Name | Hearing and Speech Clinic/Center
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License Number |
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License Number State |
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