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General NPI Number Information
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NPI Number | 1821529603
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Entity Type | Organization
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Legal Business Name | EMERSON SPEECH AND CONSULTING
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Dates
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Enumeration Date | 03/23/2017
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Last Update Date | 10/01/2019
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Provider Practice Location Address
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Address Line | 6565 INDEPENDENCE PKWY
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City | PLANO
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State | TX
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Zip | 75023
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Country | US
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Telephone | 469-644-1689
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Fax |
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Provider Business Mailing Address
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Address Line | 4404 BRECKINRIDGE BLVD
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City | RICHARDSON
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State | TX
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Zip | 75082-3805
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Country | US
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Telephone | 469-644-1689
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Fax | 469-914-9241
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Authorized Official
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Title or Position | SPEECH LANGUAGE PATHOLOGIST
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Name | WHITNEY ASWELL
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Credential | M.S. CCC/SLP
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Telephone | 469-644-1689
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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 | 107170
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License Number State | TX
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