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General NPI Number Information
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NPI Number | 1851989578
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Entity Type | Individual
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Provider Name | MARY ANN ALVARADO M.S., CCC-SLP
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Gender | Female
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Dates
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Enumeration Date | 01/07/2021
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Last Update Date | 07/17/2024
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Provider Practice Location Address
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Address Line | 12770 COIT RD STE 870
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City | DALLAS
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State | TX
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Zip | 75251-1455
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Country | US
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Telephone | 818-726-4691
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Fax |
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Provider Business Mailing Address
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Address Line | 738 MEADOWGLEN CIR
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City | COPPELL
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State | TX
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Zip | 75019-5621
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Country | US
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Telephone | 469-227-0775
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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 | 10743
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License Number State | CA
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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 | 118646
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License Number State | TX
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