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General NPI Number Information
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NPI Number | 1891458816
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Entity Type | Individual
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Provider Name | ROSE BETH BRYAN M.A., CCC-SLP
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Gender | Female
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Dates
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Enumeration Date | 10/17/2021
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Last Update Date | 09/10/2022
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Provider Practice Location Address
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Address Line | 1515 HOLCOMBE BLVD
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City | HOUSTON
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State | TX
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Zip | 77030-4000
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Country | US
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Telephone | 713-703-5583
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Fax |
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Provider Business Mailing Address
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Address Line | 10411 SILL PRAIRIE DR
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City | ROSHARON
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State | TX
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Zip | 77583-1663
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Country | US
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Telephone | 734-883-9355
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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 | 006774
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License Number State | CT
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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 | 119420
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License Number State | TX
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