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General NPI Number Information
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NPI Number | 1164945242
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Entity Type | Individual
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Provider Name | LIGIA CARLA SALGUEIRO BERTAINA
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Gender | Female
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Dates
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Enumeration Date | 07/20/2017
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Last Update Date | 09/12/2023
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Provider Practice Location Address
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Address Line | 11025 SW 84TH ST # 6
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City | MIAMI
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State | FL
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Zip | 33173-3857
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Country | US
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Telephone | 305-279-3440
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Fax |
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Provider Business Mailing Address
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Address Line | 14434 WOODWILL LN
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City | GAINESVILLE
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State | VA
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Zip | 20155-3893
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Country | US
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Telephone |
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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 |
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License Number State |
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