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General NPI Number Information
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NPI Number | 1851983928
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Entity Type | Organization
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Legal Business Name | WILSON SISTERS, LLC
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Dates
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Enumeration Date | 02/09/2021
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Last Update Date | 02/09/2021
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Provider Practice Location Address
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Address Line | 2302 JOE RAMSEY BLVD E STE B
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City | GREENVILLE
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State | TX
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Zip | 75401-6474
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Country | US
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Telephone | 903-453-8050
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Fax | 214-602-2729
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Provider Business Mailing Address
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Address Line | 401 W WASHINGTON ST
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City | ROCKWALL
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State | TX
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Zip | 75087-3615
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Country | US
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Telephone | 972-722-3892
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Fax | 214-602-2729
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Authorized Official
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Title or Position | CLINICAL DIRECTOR
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Name | KARRI SHOJAEI-SCOTT
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Credential |
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Telephone | 972-722-3892
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number |
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License Number State |
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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 |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State |
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