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General NPI Number Information
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NPI Number | 1982925285
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Entity Type | Organization
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Legal Business Name | DE HABLA
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Dates
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Enumeration Date | 06/21/2010
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Last Update Date | 06/22/2010
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Provider Practice Location Address
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Address Line | 3025 HAWTHORNE AVE
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City | EDINBURG
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State | TX
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Zip | 78539-3470
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Country | US
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Telephone | 956-240-4210
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Fax | 956-287-4052
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Provider Business Mailing Address
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Address Line | 3025 HAWTHORNE AVE
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City | EDINBURG
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State | TX
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Zip | 78539-3470
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Country | US
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Telephone | 956-240-4210
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Fax | 956-287-4052
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Authorized Official
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Title or Position | SPEECH PATHOLOGIST
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Name | MS. NORA OLIVIA MOLINA
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Credential | MA-CCC/SLP
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Telephone | 956-240-4210
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 111803
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number | 2018743
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 102580
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License Number State | TX
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