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General NPI Number Information
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NPI Number | 1033513387
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Entity Type | Organization
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Legal Business Name | SPECTRUM SPEECH SOLUTIONS, INC.
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Dates
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Enumeration Date | 10/15/2014
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Last Update Date | 10/15/2014
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Provider Practice Location Address
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Address Line | 18064 107TH AVE S
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City | BOCA RATON
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State | FL
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Zip | 33498-1620
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Country | US
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Telephone | 914-671-5822
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Fax | 561-533-9918
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Provider Business Mailing Address
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Address Line | 18064 107TH AVE S
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City | BOCA RATON
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State | FL
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Zip | 33498-1620
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Country | US
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Telephone | 914-671-5822
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Fax | 561-533-9918
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Authorized Official
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Title or Position | PRESIDENT - SPEECH PATHOLOGIST
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Name | MS. PAULA S. PERRETZ
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Credential | MMS SLP
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Telephone | 914-671-5822
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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 | SA8612
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License Number State | FL
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