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General NPI Number Information
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NPI Number | 1144732371
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Entity Type | Organization
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Legal Business Name | BILINGUAL SLS THERAPY
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Dates
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Enumeration Date | 10/27/2017
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Last Update Date | 10/27/2017
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Provider Practice Location Address
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Address Line | 819 NOTTINGHAM ST
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City | ORLANDO
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State | FL
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Zip | 32803-1019
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Country | US
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Telephone | 786-473-5233
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Fax | 786-473-5233
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Provider Business Mailing Address
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Address Line | 819 NOTTINGHAM ST
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City | ORLANDO
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State | FL
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Zip | 32803-1019
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Country | US
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Telephone | 786-473-5233
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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 | MRS. VANESSA BOTERO
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Credential | MS CCC-SLP
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Telephone | 786-473-5233
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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 | SA10136
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License Number State | FL
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