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General NPI Number Information
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NPI Number | 1881568988
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Entity Type | Individual
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Provider Name | VIVIANA ALICIA SMITH
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Gender | Female
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Dates
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Enumeration Date | 10/01/2025
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Last Update Date | 10/01/2025
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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 | 512-414-1700
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Fax |
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Provider Business Mailing Address
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Address Line | 315 MARY ELISE WAY
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City | AUSTIN
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State | TX
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Zip | 78737-4459
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Country | US
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Telephone |
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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 | 122357
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License Number State | TX
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