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General NPI Number Information
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NPI Number | 1023844214
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Entity Type | Individual
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Provider Name | ROSANGELA RAVELO
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Gender | Female
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Dates
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Enumeration Date | 09/12/2024
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Last Update Date | 09/12/2024
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Provider Practice Location Address
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Address Line | 111 E LAKE MARY BLVD
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City | SANFORD
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State | FL
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Zip | 32773-7111
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Country | US
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Telephone | 407-326-9683
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Fax |
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Provider Business Mailing Address
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Address Line | 1512 HILLWAY RD
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City | APOPKA
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State | FL
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Zip | 32703-7403
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Country | US
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Telephone | 786-893-5767
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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 | 2355S0801X
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Taxonomy Name | Speech-Language Assistant
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License Number | 7242
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License Number State | FL
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