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General NPI Number Information
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NPI Number | 1982278289
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Entity Type | Individual
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Provider Name | DINAH SMITH PORCHIA MS, CCC-SLP
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Gender | Female
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Dates
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Enumeration Date | 05/19/2021
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Last Update Date | 05/19/2021
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Provider Practice Location Address
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Address Line | 2831 W PARKER RD STE 5
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City | PLANO
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State | TX
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Zip | 75023-7936
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Country | US
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Telephone | 469-431-4134
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Fax |
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Provider Business Mailing Address
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Address Line | 217 SHADY TIMBERS LN
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City | MURPHY
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State | TX
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Zip | 75094-3533
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Country | US
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Telephone | 469-431-4134
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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 | 100946
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License Number State | TX
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