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General NPI Number Information
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NPI Number | 1871088831
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Entity Type | Organization
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Legal Business Name | COMPLETE SPEECH THERAPY PLLC
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Dates
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Enumeration Date | 06/22/2018
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Last Update Date | 06/22/2018
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Provider Practice Location Address
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Address Line | 9898 BISSONNET ST # 252N
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City | HOUSTON
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State | TX
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Zip | 77036-8270
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Country | US
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Telephone | 469-274-8784
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Fax |
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Provider Business Mailing Address
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Address Line | 7934 THORNCROFT MANOR LN
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City | RICHMOND
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State | TX
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Zip | 77407-3397
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Country | US
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Telephone | 469-274-8784
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | NINI ANN RAJAN
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Credential | CCC-SLP
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Telephone | 469-274-8784
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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 | 14144820
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License Number State | TX
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