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General NPI Number Information
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NPI Number | 1841950706
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Entity Type | Individual
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Provider Name | LAURA GAMEZ M.S., CCC-SLP
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Gender | Female
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Dates
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Enumeration Date | 12/20/2021
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Last Update Date | 10/06/2023
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Provider Practice Location Address
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Address Line | 4000 S I 35 FRONTAGE RD
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City | AUSTIN
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State | TX
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Zip | 78704
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Country | US
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Telephone | 904-945-7556
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Fax |
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Provider Business Mailing Address
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Address Line | 2186 JACKSON KELLER RD STE 2270
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City | SAN ANTONIO
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State | TX
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Zip | 78213-2723
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Country | US
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Telephone | 904-631-5755
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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 | 119436
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | SA17893
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License Number State | FL
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