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General NPI Number Information
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NPI Number | 1841824919
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Entity Type | Individual
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Provider Name | MARIAH SHYELL ALVAREZ MS.CCC-SLP
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Gender | Female
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Dates
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Enumeration Date | 02/27/2020
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Last Update Date | 08/05/2025
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Provider Practice Location Address
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Address Line | 7485 PHELAN BLVD
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City | BEAUMONT
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State | TX
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Zip | 77706-5748
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Country | US
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Telephone | 409-842-9898
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Fax |
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Provider Business Mailing Address
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Address Line | 11440 MATZKE RD
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City | CYPRESS
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State | TX
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Zip | 77429-5015
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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 | 120269
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License Number State | TX
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