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General NPI Number Information
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NPI Number | 1164901534
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Entity Type | Organization
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Legal Business Name | JMS SPEECH THERAPY SERVICES INC
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Dates
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Enumeration Date | 08/07/2018
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Last Update Date | 10/21/2021
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Provider Practice Location Address
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Address Line | 1320 CULVER DR NE STE 6
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City | PALM BAY
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State | FL
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Zip | 32907-1104
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Country | US
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Telephone | 321-536-0107
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Fax | 321-428-5004
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Provider Business Mailing Address
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Address Line | 4923 FLORA DR
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City | MELBOURNE
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State | FL
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Zip | 32934-7846
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Country | US
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Telephone | 321-536-0107
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Fax | 321-428-5004
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Authorized Official
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Title or Position | OWNER
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Name | JAMIE SCHEPP
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Credential | MS CCC SLP
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Telephone | 321-536-0107
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number |
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License Number State |
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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 | SA12229
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State |
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