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General NPI Number Information
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NPI Number | 1124647102
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Entity Type | Individual
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Provider Name | CATHERINE ANNE JIMENEZ M.A. CCC-SLP
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Gender | Female
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Dates
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Enumeration Date | 04/10/2020
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Last Update Date | 06/26/2025
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Provider Practice Location Address
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Address Line | 1071 S PATRICK DR STE 101 #372351
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City | SATELLITE BEACH
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State | FL
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Zip | 32937
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Country | US
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Telephone | 321-615-5840
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Fax |
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Provider Business Mailing Address
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Address Line | 1071 S PATRICK DR STE 101 #372351
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City | SATELLITE BEACH
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State | FL
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Zip | 32937
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Country | US
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Telephone | 321-615-5840
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | SLP-2023-0251
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License Number State | NM
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Taxonomy #2
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 202467
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License Number State | AR
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Taxonomy #3
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 17913
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License Number State | OR
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Taxonomy #4
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 19453
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License Number State | FL
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