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General NPI Number Information
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NPI Number | 1104578392
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Entity Type | Organization
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Legal Business Name | TEACH 2 SPEECH LLC
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Dates
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Enumeration Date | 01/19/2022
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Last Update Date | 12/12/2023
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Provider Practice Location Address
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Address Line | 1046 SW 180TH TER
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City | PEMBROKE PINES
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State | FL
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Zip | 33029-4424
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Country | US
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Telephone | 305-542-2589
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Fax |
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Provider Business Mailing Address
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Address Line | 1046 SW 180TH TER
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City | PEMBROKE PINES
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State | FL
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Zip | 33029-4424
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Country | US
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Telephone | 305-542-2589
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Fax |
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Authorized Official
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Title or Position | SPEECH-LANGUAGE PATHOLOGIST
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Name | SHANTELL ELISS DEL PINO
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Credential | M.S, CCC-SLP
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Telephone | 305-542-2589
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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