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General NPI Number Information
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NPI Number | 1245789213
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Entity Type | Individual
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Provider Name | BRYANNA MOLINA SLPD, CCC-SLP
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Gender | Female
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Dates
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Enumeration Date | 09/30/2016
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Last Update Date | 03/25/2025
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Provider Practice Location Address
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Address Line | 11601 BISCAYNE BLVD STE 312
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City | MIAMI
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State | FL
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Zip | 33181-3151
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Country | US
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Telephone | 786-206-4151
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Fax |
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Provider Business Mailing Address
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Address Line | 1986 BIARRITZ DR APT 106
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City | MIAMI BEACH
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State | FL
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Zip | 33141-4427
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Country | US
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Telephone | 917-502-5957
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 025921
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License Number State | NY
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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 | SA15297
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License Number State | FL
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