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General NPI Number Information
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NPI Number | 1114242955
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Entity Type | Organization
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Legal Business Name | CAMARDA SPEECH & LANGUAGE GROUP, LLC
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Dates
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Enumeration Date | 04/05/2010
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Last Update Date | 04/05/2010
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Provider Practice Location Address
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Address Line | 764 SE RIVER CT
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City | PORT SAINT LUCIE
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State | FL
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Zip | 34983-2775
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Country | US
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Telephone | 772-323-7576
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Fax | 772-224-2517
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Provider Business Mailing Address
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Address Line | 764 SE RIVER CT
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City | PORT SAINT LUCIE
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State | FL
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Zip | 34983-2775
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Country | US
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Telephone | 772-323-7576
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Fax | 772-224-2517
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Authorized Official
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Title or Position | SPEECH THERAPIST/PRESIDENT
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Name | MRS. BRITNI G. CAMARDA
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Credential | M.A. CCC/SLP
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Telephone | 772-323-7576
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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 | SA8537
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License Number State | FL
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