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General NPI Number Information
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NPI Number | 1215034582
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Entity Type | Organization
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Legal Business Name | ON-SITE THERAPY & EDUCATIONAL TRAINING
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Dates
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Enumeration Date | 09/20/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 941 N KROME AVE
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City | HOMESTEAD
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State | FL
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Zip | 33030-4408
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Country | US
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Telephone | 786-243-0275
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Fax | 786-243-0276
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Provider Business Mailing Address
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Address Line | 941 N KROME AVE
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City | HOMESTEAD
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State | FL
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Zip | 33030-4408
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Country | US
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Telephone | 786-243-0275
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Fax | 786-243-0276
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | MRS. CLARA CANIZARES
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Credential | MS,CCC-SLP
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Telephone | 786-243-0275
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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 | SA0005028
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 2355S0801X
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Taxonomy Name | Speech-Language Assistant
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License Number | SA0005028
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License Number State | FL
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