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General NPI Number Information
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NPI Number | 1255521894
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Entity Type | Organization
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Legal Business Name | DIMENSIONS ACHIEVEMENTS IN THERAOPY
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Dates
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Enumeration Date | 07/30/2007
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Last Update Date | 07/30/2007
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Provider Practice Location Address
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Address Line | 20704 W DIXIE HWY
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City | AVENTURA
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State | FL
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Zip | 33180-1146
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Country | US
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Telephone | 305-933-5887
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Fax | 305-933-8991
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Provider Business Mailing Address
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Address Line | 1460 NE 142ND ST
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City | NORTH MIAMI
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State | FL
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Zip | 33161-3013
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Country | US
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Telephone | 305-981-2506
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Fax |
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Authorized Official
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Title or Position | SPEECH- LANGUAGE PATHOLOGY ASSISTTA
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Name | MS. WIDELINE DORVIZ
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Credential | SL1172
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Telephone | 305-933-5887
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 320600000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Residential Treatment Facility
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License Number |
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License Number State |
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