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General NPI Number Information
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NPI Number | 1235470030
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Entity Type | Organization
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Legal Business Name | SPEAK WITH US THERAPY
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Dates
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Enumeration Date | 03/05/2013
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Last Update Date | 03/05/2013
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Provider Practice Location Address
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Address Line | 440 W 34TH ST
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City | RIVIERA BEACH
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State | FL
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Zip | 33404-3010
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Country | US
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Telephone | 817-528-1597
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Fax | 561-459-2477
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Provider Business Mailing Address
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Address Line | 440 W 34TH ST
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City | RIVIERA BEACH
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State | FL
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Zip | 33404-3010
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | GINAE FIELDS
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Credential | CCC-SLP
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Telephone | 817-528-1597
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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 | SA7696
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License Number State | FL
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