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General NPI Number Information
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NPI Number | 1881820066
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Entity Type | Individual
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Provider Name | TASHALA K QUICK M.S. CCC-SLP
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Gender | Female
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Dates
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Enumeration Date | 06/02/2009
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Last Update Date | 05/19/2019
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Provider Practice Location Address
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Address Line | 16835 DEER CREEK DR STE 120
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City | SPRING
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State | TX
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Zip | 77379-5803
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Country | US
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Telephone | 281-379-4373
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Fax |
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Provider Business Mailing Address
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Address Line | 6206 FLAGG RANCH DR
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City | SPRING
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State | TX
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Zip | 77388-2620
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Country | US
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Telephone | 678-523-3256
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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 | SLP006644
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License Number State | GA
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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 | 112170
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License Number State | TX
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