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General NPI Number Information
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NPI Number | 1013194760
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Entity Type | Individual
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Provider Name | STACEY A. DIORIO M.S., CCC-SP
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Gender | Female
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Dates
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Enumeration Date | 01/24/2008
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Last Update Date | 11/22/2024
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Provider Practice Location Address
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Address Line | 3433 LITHIA PINECREST RD STE 135
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City | VALRICO
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State | FL
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Zip | 33596-6302
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Country | US
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Telephone | 813-391-8398
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Fax | 800-787-5052
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Provider Business Mailing Address
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Address Line | 3433 LITHIA PINECREST RD STE 135
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City | VALRICO
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State | FL
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Zip | 33596-6302
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Country | US
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Telephone | 813-391-8398
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Fax | 800-787-5052
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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 | 3896
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 23137
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License Number State | FL
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