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General NPI Number Information
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NPI Number | 1952065922
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Entity Type | Organization
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Legal Business Name | AZALEA THERAPY GROUP, PLLC
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Dates
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Enumeration Date | 10/26/2021
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Last Update Date | 06/07/2025
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Provider Practice Location Address
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Address Line | 25301 BOROUGH PARK DR STE 200
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City | SPRING
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State | TX
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Zip | 77380-3562
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Country | US
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Telephone | 832-859-2505
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Fax | 346-477-8051
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Provider Business Mailing Address
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Address Line | 25301 BOROUGH PARK DR STE 200
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City | SPRING
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State | TX
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Zip | 77380-3562
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Country | US
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Telephone | 832-859-2505
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Fax | 346-477-8051
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Authorized Official
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Title or Position | CEO
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Name | YAMIRKA LEE
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Credential |
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Telephone | 832-859-2505
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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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