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General NPI Number Information
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NPI Number | 1225440340
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Entity Type | Organization
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Legal Business Name | WORDS OF WONDER SPEECH-LANGUAGE PATHOLOGY SERVCES, LLC.
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Dates
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Enumeration Date | 05/22/2014
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Last Update Date | 08/05/2014
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Provider Practice Location Address
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Address Line | 1365 LAKE BALDWIN LN APT. 203
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City | ORLANDO
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State | FL
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Zip | 32814-6751
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Country | US
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Telephone | 407-443-1962
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Fax |
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Provider Business Mailing Address
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Address Line | 2042 MICHAEL TIAGO CIR
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City | MAITLAND
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State | FL
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Zip | 32751-8669
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Country | US
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Telephone | 352-817-4765
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Fax |
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Authorized Official
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Title or Position | CO-OWNER
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Name | MRS. MELISSA M QADRI
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Credential | M.A., CCC-SLP
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Telephone | 352-817-4765
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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 | SA8897
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | SA9030
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License Number State | FL
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