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General NPI Number Information
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NPI Number | 1972910594
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Entity Type | Individual
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Provider Name | JENILEE H ZAPATA M.S CCC/SLP
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Gender | Female
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Dates
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Enumeration Date | 07/15/2014
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Last Update Date | 07/15/2014
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Provider Practice Location Address
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Address Line | 501 N REYNOLDS ST
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City | ALICE
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State | TX
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Zip | 78332-4643
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Country | US
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Telephone | 956-792-3277
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Fax |
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Provider Business Mailing Address
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Address Line | 3613 LAKE PALESTINE
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City | ROBSTOWN
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State | TX
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Zip | 78380-6144
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Country | US
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Telephone | 361-249-5398
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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 | 105000
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License Number State | TX
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