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General NPI Number Information
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NPI Number | 1164032611
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Entity Type | Organization
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Legal Business Name | SPEECHRX LLC
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Dates
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Enumeration Date | 08/08/2020
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Last Update Date | 03/29/2021
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Provider Practice Location Address
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Address Line | 1762 SW CRANE CREEK CIR
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City | PALM CITY
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State | FL
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Zip | 34990-2232
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Country | US
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Telephone | 772-214-8655
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Fax |
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Provider Business Mailing Address
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Address Line | 1762 SW CRANE CREEK CIR
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City | PALM CITY
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State | FL
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Zip | 34990-2232
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Country | US
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Telephone | 772-214-8655
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Fax |
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Authorized Official
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Title or Position | OWNER / MEMBER
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Name | THOMAS G WINTER
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Credential |
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Telephone | 772-214-8655
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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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