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General NPI Number Information
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NPI Number | 1972919033
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Entity Type | Individual
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Provider Name | ALISON CLAIRE GILLIES MS, CCC/SLP
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Gender | Female
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Dates
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Enumeration Date | 07/09/2014
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Last Update Date | 07/09/2014
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Provider Practice Location Address
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Address Line | 5555 N LAMAR BLVD STE. L 103
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City | AUSTIN
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State | TX
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Zip | 78751-1073
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Country | US
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Telephone | 512-200-2332
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Fax |
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Provider Business Mailing Address
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Address Line | 3845 RANCH ROAD 2222 UNIT 26
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City | AUSTIN
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State | TX
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Zip | 78731-4877
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Country | US
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Telephone | 972-658-9163
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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 | 105323
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License Number State | TX
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