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General NPI Number Information
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NPI Number | 1932508504
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Entity Type | Individual
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Provider Name | SUSAN MORGAN NASH WARD MS CCC/SLP
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Gender | Female
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Dates
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Enumeration Date | 08/19/2014
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Last Update Date | 10/26/2021
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Provider Practice Location Address
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Address Line | 600 S BOIS D ARC ST
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City | FORNEY
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State | TX
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Zip | 75126-9677
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Country | US
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Telephone | 469-762-4155
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Fax |
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Provider Business Mailing Address
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Address Line | 9030 BOBCAT TRL
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City | TEXARKANA
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State | TX
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Zip | 75503-9309
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Country | US
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Telephone | 903-277-8478
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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 | 114019
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License Number State | TX
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