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General NPI Number Information
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NPI Number | 1083240659
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Entity Type | Organization
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Legal Business Name | FX THERAPY GROUP INC
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Dates
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Enumeration Date | 03/16/2020
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Last Update Date | 03/16/2020
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Provider Practice Location Address
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Address Line | 15200 JOG RD SUITE #B8
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City | DELRAY BEACH
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State | FL
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Zip | 33446
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Country | US
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Telephone | 561-244-9454
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Fax | 561-430-2044
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Provider Business Mailing Address
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Address Line | 15200 JOG RD SUITE #B8
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City | DELRAY BEACH
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State | FL
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Zip | 33446
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Country | US
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Telephone | 561-244-9454
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Fax | 561-430-2044
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Authorized Official
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Title or Position | SLP/ADMINISTRATOR
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Name | MS. BLAIRE STANLEY
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Credential | MS, CCC-SLP
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Telephone | 561-244-9454
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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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