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General NPI Number Information
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NPI Number | 1952805228
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Entity Type | Organization
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Legal Business Name | BEAUMONT SPEECH AND LANGUAGE LLC
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Dates
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Enumeration Date | 03/21/2018
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Last Update Date | 03/21/2018
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Provider Practice Location Address
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Address Line | 2260 HAZEL ST APT 7
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City | BEAUMONT
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State | TX
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Zip | 77701-1543
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Country | US
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Telephone | 504-344-5296
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Fax |
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Provider Business Mailing Address
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Address Line | 2260 HAZEL ST APT 7
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City | BEAUMONT
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State | TX
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Zip | 77701-1543
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Country | US
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Telephone | 504-344-5296
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Fax |
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Authorized Official
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Title or Position | OWNER/SPEECH-LANGUAGE PATHOLOGIST
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Name | PATRICE BENN-ABBEY
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Credential | M.S., L-SLP, CCC
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Telephone | 504-344-5296
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0700X
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Taxonomy Name | Hearing and Speech Clinic/Center
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License Number |
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License Number State | TX
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