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NPI 1811665862

NPI 1811665862 : MICHELLE MARIE SPILINEK : SPLENDORA, TX

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General NPI Number Information
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    NPI Number           |    1811665862
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    Entity Type          |    Individual 
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    Provider Name        |    MICHELLE MARIE SPILINEK
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    09/03/2021
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    Last Update Date     |    09/03/2021
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Provider Practice Location Address
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    Address Line         |    26175 FM 2090 RD 
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    City                 |    SPLENDORA
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    State                |    TX
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    Zip                  |    77372-4621
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    Country              |    US
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    Telephone            |    281-689-4316
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    26175 FM 2090 RD 
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    City                 |    SPLENDORA
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    State                |    TX
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    Zip                  |    77372-4621
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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    |    
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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        |    235Z00000X
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    Taxonomy Name        |    Speech-Language Pathologist
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    License Number       |    112667
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    License Number State |    TX
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