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General NPI Number Information
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NPI Number | 1831913359
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Entity Type | Organization
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Legal Business Name | LIVE OUT LOUD SPEECH SERVICES, LLC
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Dates
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Enumeration Date | 11/12/2024
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Last Update Date | 11/12/2024
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Provider Practice Location Address
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Address Line | 9418 SILVER BERYL LN
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City | ROSHARON
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State | TX
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Zip | 77583-6932
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Country | US
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Telephone | 832-493-0737
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 84852
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City | PEARLAND
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State | TX
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Zip | 77584-0007
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Country | US
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Telephone | 832-493-0737
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Fax |
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Authorized Official
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Title or Position | SPEECH LANGUAGE PATHOLOGIST
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Name | MYRIAH LASHE MOORE
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Credential | M.S CCC-SLP
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Telephone | 832-493-0737
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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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