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General NPI Number Information
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NPI Number | 1053139956
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Entity Type | Organization
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Legal Business Name | SPEECH TREE MIAMI LLC
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Dates
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Enumeration Date | 09/30/2024
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Last Update Date | 09/30/2024
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Provider Practice Location Address
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Address Line | 14812 SW 9TH LN
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City | MIAMI
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State | FL
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Zip | 33194-2911
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Country | US
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Telephone | 786-261-6117
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Fax |
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Provider Business Mailing Address
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Address Line | 14812 SW 9TH LN
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City | MIAMI
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State | FL
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Zip | 33194-2911
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | AIME BANEY
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Credential |
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Telephone | 786-261-6117
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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 |
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License Number State |
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