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General NPI Number Information
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NPI Number | 1881140267
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Entity Type | Organization
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Legal Business Name | APH SPEECH PATHOLOGY ASSOCIATES, PLLC
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Dates
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Enumeration Date | 08/26/2016
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Last Update Date | 08/26/2016
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Provider Practice Location Address
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Address Line | 173 CALEDONIA CIR
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City | MONTGOMERY
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State | TX
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Zip | 77316-1572
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Country | US
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Telephone | 703-408-1839
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Fax |
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Provider Business Mailing Address
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Address Line | 173 CALEDONIA CIR
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City | MONTGOMERY
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State | TX
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Zip | 77316-1572
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Country | US
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Telephone | 703-408-1839
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Fax |
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Authorized Official
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Title or Position | SPEECH-LANGUAGE PATHOLOGIST
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Name | MRS. ANGELA HINKLE
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Credential | M.S., CCC-SLP
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Telephone | 703-408-1839
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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 | 111504
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License Number State | TX
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