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General NPI Number Information
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NPI Number | 1174544217
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Entity Type | Organization
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Legal Business Name | FLORIDA SPEECH-LANGUAGE PATHOLOGY, INC.
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Dates
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Enumeration Date | 07/22/2006
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Last Update Date | 04/26/2011
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Provider Practice Location Address
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Address Line | 1525 S ALAFAYA TRL SUITE 101
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City | ORLANDO
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State | FL
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Zip | 32828-8926
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Country | US
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Telephone | 407-340-4167
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Fax | 407-327-7902
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Provider Business Mailing Address
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Address Line | 734 SENECA MEADOWS RD
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City | WINTER SPRINGS
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State | FL
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Zip | 32708-4722
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Country | US
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Telephone | 407-340-4167
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Fax | 407-327-7902
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Authorized Official
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Title or Position | OWNER/SPEECH PATHOLOGIST
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Name | MRS. MELISSA D MALANI
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Credential | MA, CCC-SLP
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Telephone | 407-340-4167
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 222Q00000X
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Taxonomy Name | Developmental Therapist
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License Number | SA6843
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License Number State | FL
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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 | SA6843
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License Number State | FL
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