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General NPI Number Information
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NPI Number | 1164145181
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Entity Type | Individual
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Provider Name | MRS. GENEIA FANTAUZZI MEULENER
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Gender | Female
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Dates
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Enumeration Date | 09/23/2022
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Last Update Date | 01/20/2026
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Provider Practice Location Address
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Address Line | 2140 W FLAGLER ST STE 102
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City | MIAMI
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State | FL
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Zip | 33135-1641
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Country | US
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Telephone | 786-409-2646
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Fax |
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Provider Business Mailing Address
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Address Line | 2029 NW 33RD ST
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City | MIAMI
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State | FL
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Zip | 33142-5491
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Country | US
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Telephone | 305-510-7388
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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 | 2355S0801X
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Taxonomy Name | Speech-Language Assistant
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License Number | SI5892
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License Number State | FL
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