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General NPI Number Information
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NPI Number | 1205907334
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Entity Type | Individual
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Provider Name | LIZZETTE ALCARAZ CCC-SLP
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Gender | Female
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Dates
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Enumeration Date | 11/12/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 5390 HOFFNER AVE SUITE F
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City | ORLANDO
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State | FL
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Zip | 32812-2458
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Country | US
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Telephone | 407-482-0541
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Fax | 407-695-1370
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Provider Business Mailing Address
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Address Line | 140 NORRIS PL
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City | CASSELBERRY
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State | FL
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Zip | 32707-3431
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Country | US
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Telephone | 407-482-0541
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Fax | 407-695-1370
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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 | SA-3421
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License Number State | FL
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