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General NPI Number Information
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NPI Number | 1023668043
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Entity Type | Individual
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Provider Name | CIARA SMITH-VAZQUEZ M.S., CCC-SLP
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Gender | Female
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Dates
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Enumeration Date | 09/12/2019
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Last Update Date | 12/03/2024
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Provider Practice Location Address
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Address Line | 111 N ORANGE AVE STE 800
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City | ORLANDO
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State | FL
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Zip | 32801-2381
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Country | US
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Telephone | 512-768-0319
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Fax |
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Provider Business Mailing Address
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Address Line | 17901 SAINT CROIX ISLE DR
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City | TAMPA
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State | FL
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Zip | 33647-2705
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Country | US
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Telephone | 561-866-9710
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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 | SLP013262
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License Number State | GA
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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 | SA18460
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License Number State | FL
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