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General NPI Number Information
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NPI Number | 1922537182
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Entity Type | Organization
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Legal Business Name | OUT AND ABOUT SPEECH PLLC
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Dates
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Enumeration Date | 06/09/2017
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Last Update Date | 06/09/2017
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Provider Practice Location Address
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Address Line | 3704 LONGBOW LN
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City | PLANO
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State | TX
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Zip | 75023-3758
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Country | US
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Telephone | 817-909-0268
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 864201
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City | PLANO
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State | TX
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Zip | 75086-4201
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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 | OWNER/SPEECH THERAPIST
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Name | AMANDA ENGLAND
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Credential | CCC-SLP
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Telephone | 817-909-0268
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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 | 109350
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License Number State | TX
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