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General NPI Number Information
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NPI Number | 1245591585
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Entity Type | Organization
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Legal Business Name | SHEILA VIADERO-OWENS
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Dates
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Enumeration Date | 06/04/2012
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Last Update Date | 06/13/2012
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Provider Practice Location Address
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Address Line | 933 LEE RD STE 101
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City | ORLANDO
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State | FL
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Zip | 32810-5537
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Country | US
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Telephone | 407-730-6988
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Fax |
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Provider Business Mailing Address
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Address Line | 933 LEE RD STE 101
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City | ORLANDO
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State | FL
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Zip | 32810-5537
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Country | US
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Telephone | 407-730-6988
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Fax |
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Authorized Official
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Title or Position | SPEECH LANGUAGE PATHOLOGIST/OWNER
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Name | MRS. PATTY SMITH
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Credential | MA, SLP-CCC
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Telephone | 407-730-6988
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 224Z00000X
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Taxonomy Name | Occupational Therapy Assistant
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License Number | 9881
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License Number State | FL
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