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General NPI Number Information
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NPI Number | 1073154084
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Entity Type | Organization
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Legal Business Name | DANDELION SPEECH LANGUAGE PATHOLOGY SERVICES LLC
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Dates
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Enumeration Date | 10/01/2019
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Last Update Date | 10/01/2019
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Provider Practice Location Address
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Address Line | 1997 SANDERLIN POINT LOOP
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City | APOPKA
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State | FL
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Zip | 32703-5511
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Country | US
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Telephone | 321-229-3706
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Fax |
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Provider Business Mailing Address
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Address Line | 1997 SANDERLIN POINT LOOP
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City | APOPKA
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State | FL
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Zip | 32703-5511
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Country | US
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Telephone | 321-229-3706
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Fax |
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Authorized Official
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Title or Position | OWNER/SPEECH LANGUAGE PATHOLOGIST
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Name | LAKISHA DAWKINS
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Credential | M.A. CCC-SLP
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Telephone | 321-229-3706
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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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