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General NPI Number Information
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NPI Number | 1184090649
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Entity Type | Organization
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Legal Business Name | BE HEARD LLC
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Dates
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Enumeration Date | 08/18/2015
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Last Update Date | 02/12/2016
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Provider Practice Location Address
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Address Line | 1806 REIS CT
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City | ROCHESTER HILLS
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State | MI
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Zip | 48309-3330
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Country | US
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Telephone | 248-234-1150
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Fax | 248-659-1835
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Provider Business Mailing Address
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Address Line | 1806 REIS CT
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City | ROCHESTER HILLS
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State | MI
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Zip | 48309-3330
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Country | US
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Telephone | 248-234-1150
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Fax | 248-659-1835
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Authorized Official
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Title or Position | SPEECH PATHOLOGIST
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Name | MISS MONICA NICOLE PUENTE
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Credential | M.A., C.C.C. SLP
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Telephone | 248-234-1150
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA3000X
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Taxonomy Name | Augmentative Communication Clinic/Center
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License Number | 7101001010
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 261QH0700X
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Taxonomy Name | Hearing and Speech Clinic/Center
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License Number | 7101001010
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License Number State | MI
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