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General NPI Number Information
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NPI Number | 1215338306
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Entity Type | Organization
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Legal Business Name | COMPLETE THERAPY SOLUTIONS, INC
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Dates
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Enumeration Date | 09/09/2014
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Last Update Date | 09/29/2014
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Provider Practice Location Address
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Address Line | 522 S HUNT CLUB BLVD # 352
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City | APOPKA
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State | FL
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Zip | 32703-4960
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Country | US
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Telephone | 407-435-0186
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Fax |
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Provider Business Mailing Address
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Address Line | 522 S HUNT CLUB BLVD # 352
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City | APOPKA
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State | FL
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Zip | 32703-4960
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Country | US
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Telephone | 407-435-0186
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Fax |
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Authorized Official
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Title or Position | PRESIDENT/SPEECH THERAPIST
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Name | SHERRI C BROKAW
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Credential |
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Telephone | 407-435-0186
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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 8072
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License Number State | FL
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