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General NPI Number Information
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NPI Number | 1902110950
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Entity Type | Organization
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Legal Business Name | VALLEY SPEECH ASSOCIATES
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Dates
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Enumeration Date | 08/02/2010
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Last Update Date | 08/02/2010
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Provider Practice Location Address
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Address Line | 415 S. AIRPORT DRIVE SUITE B
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City | WESLACO
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State | TX
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Zip | 78596
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Country | US
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Telephone | 956-973-8400
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Fax | 956-973-8403
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Provider Business Mailing Address
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Address Line | 415 S. AIRPORT DRIVE SUITE B
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City | WESLACO
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State | TX
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Zip | 78596
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Country | US
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Telephone | 956-973-8400
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Fax | 956-973-8403
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Authorized Official
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Title or Position | OWNER
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Name | MRS. MONICA MELISSA PATTERSON
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Credential | M.A.CCC-SLP
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Telephone | 956-973-8400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 110733
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License Number State | TX
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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 | 100191
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License Number State | TX
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