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General NPI Number Information
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NPI Number | 1992446660
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Entity Type | Individual
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Provider Name | LAURA RAMIREZ M.S. CCC-SLP
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Gender | Female
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Dates
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Enumeration Date | 04/05/2022
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Last Update Date | 04/05/2022
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Provider Practice Location Address
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Address Line | 4020 135TH ST
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City | LUBBOCK
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State | TX
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Zip | 79423-3557
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Country | US
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Telephone | 806-776-2150
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Fax | 806-776-2151
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Provider Business Mailing Address
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Address Line | 4909 GRINNELL ST
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City | LUBBOCK
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State | TX
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Zip | 79416-1205
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Country | US
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Telephone | 806-787-1461
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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 | 116000
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License Number State | TX
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