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General NPI Number Information
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NPI Number | 1245950211
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Entity Type | Individual
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Provider Name | SAMANTHA LEXI PASTOR M.S. CF-SLP
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Gender | Female
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Dates
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Enumeration Date | 08/30/2022
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Last Update Date | 10/11/2024
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Provider Practice Location Address
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Address Line | 5848 PARADISE POINT DR
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City | PALMETTO BAY
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State | FL
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Zip | 33157-2646
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Country | US
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Telephone | 786-460-1595
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Fax |
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Provider Business Mailing Address
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Address Line | 3750 S DIXIE HWY APT 532
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City | MIAMI
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State | FL
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Zip | 33133-4598
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Country | US
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Telephone | 786-351-1504
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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 | SZ12359
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License Number State | FL
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