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General NPI Number Information
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NPI Number | 1013358944
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Entity Type | Organization
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Legal Business Name | SPEECH4KIDS, LLC
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Dates
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Enumeration Date | 07/08/2013
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Last Update Date | 07/08/2013
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Provider Practice Location Address
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Address Line | 14580 SW 113TH ST
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City | MIAMI
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State | FL
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Zip | 33186-7064
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Country | US
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Telephone | 786-443-7520
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Fax | 502-212-6385
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Provider Business Mailing Address
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Address Line | 14580 SW 113TH ST
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City | MIAMI
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State | FL
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Zip | 33186-7064
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Country | US
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Telephone | 786-443-7520
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Fax | 502-212-6385
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Authorized Official
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Title or Position | OFFICE MANAGER/ OWNER
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Name | VIVIANA CALDERON
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Credential |
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Telephone | 786-443-7520
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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 | SA9957
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License Number State | FL
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