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General NPI Number Information
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NPI Number | 1942156922
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Entity Type | Organization
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Legal Business Name | SPEECH AND FEEDING OF FRISCO, LLC
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Dates
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Enumeration Date | 03/10/2026
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Last Update Date | 03/10/2026
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Provider Practice Location Address
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Address Line | 4645 WYNDHAM LN STE 260B
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City | FRISCO
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State | TX
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Zip | 75033-0029
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Country | US
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Telephone | 469-945-7351
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Fax | 972-694-0242
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Provider Business Mailing Address
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Address Line | 6412 FOREFRONT AVE
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City | FRISCO
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State | TX
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Zip | 75036-7294
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Country | US
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Telephone | 469-945-7351
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Fax | 972-694-0242
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Authorized Official
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Title or Position | MANAGER/OWNER
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Name | JESSICA REVA
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Credential | MS CCC-SLP
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Telephone | 469-945-7351
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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 |
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License Number State |
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