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General NPI Number Information
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NPI Number | 1003081282
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Entity Type | Organization
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Legal Business Name | SPEECH THERAPY ASSOCIATES OF SOUTH FLORIDA, P.A.
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Dates
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Enumeration Date | 04/28/2008
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Last Update Date | 06/02/2009
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Provider Practice Location Address
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Address Line | 9221 SW 60TH ST
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City | MIAMI
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State | FL
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Zip | 33173-1636
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Country | US
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Telephone | 305-798-7286
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Fax |
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Provider Business Mailing Address
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Address Line | 9221 SW 60TH ST
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City | MIAMI
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State | FL
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Zip | 33173-1636
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | ANA C GONZALEZ-SOLDEVILLA
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Credential | M.S., CCC-SLP
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Telephone | 305-798-7286
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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 | SA 9784
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License Number State | FL
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