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General NPI Number Information
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NPI Number | 1003567991
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Entity Type | Individual
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Provider Name | VANESA BEDOYA BAQUERO M.S., C-F SLP
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Gender | Female
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Dates
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Enumeration Date | 01/12/2022
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Last Update Date | 01/12/2022
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Provider Practice Location Address
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Address Line | 6734 LONE OAK BLVD
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City | NAPLES
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State | FL
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Zip | 34109-6834
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Country | US
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Telephone | 239-597-0935
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Fax |
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Provider Business Mailing Address
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Address Line | 4500 BOTANICAL PLACE CIR APT 102
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City | NAPLES
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State | FL
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Zip | 34112-2421
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Country | US
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Telephone | 239-682-9314
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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 |
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License Number State |
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