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General NPI Number Information
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NPI Number | 1205693488
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Entity Type | Organization
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Legal Business Name | SPEECH EAT LEARN LLC
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Dates
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Enumeration Date | 03/04/2024
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Last Update Date | 03/04/2024
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Provider Practice Location Address
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Address Line | 5502 BROKEN SOUND BLVD NW APT 3103
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City | BOCA RATON
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State | FL
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Zip | 33487-3547
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Country | US
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Telephone | 305-989-9187
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Fax |
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Provider Business Mailing Address
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Address Line | 9858 CLINT MOORE RD STE C111-207
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City | BOCA RATON
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State | FL
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Zip | 33496-1034
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Country | US
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Telephone | 561-203-5383
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Fax |
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Authorized Official
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Title or Position | SPEECH LANGUAGE PATHOLOGIST
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Name | KARINA STEPHANIE LEE
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Credential | SLP
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Telephone | 305-989-9187
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0700X
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Taxonomy Name | Hearing and Speech Clinic/Center
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License Number |
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License Number State |
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