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General NPI Number Information
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NPI Number | 1902815467
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Entity Type | Organization
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Legal Business Name | KINER SPEECH SERVICES
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Dates
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Enumeration Date | 08/05/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2887 PARK PLACE DR
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City | GRAND PRAIRIE
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State | TX
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Zip | 75052-8520
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Country | US
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Telephone | 817-652-1895
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Fax |
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Provider Business Mailing Address
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Address Line | 2887 PARK PLACE DR
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City | GRAND PRAIRIE
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State | TX
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Zip | 75052-8520
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Country | US
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Telephone | 817-652-1895
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Fax |
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Authorized Official
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Title or Position | OWNER/CEO
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Name | MRS. TONGULA D KINER
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Credential | M.M.,CCC-SLP
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Telephone | 817-652-1895
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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 | 17240
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License Number State | TX
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