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General NPI Number Information
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NPI Number | 1265258917
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Entity Type | Individual
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Provider Name | GIOVANNA CENTENO
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Gender | Female
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Dates
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Enumeration Date | 11/26/2024
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Last Update Date | 02/04/2025
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Provider Practice Location Address
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Address Line | 1061 S SUN DR STE 1089
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City | LAKE MARY
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State | FL
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Zip | 32746-6169
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Country | US
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Telephone | 407-323-6955
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Fax |
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Provider Business Mailing Address
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Address Line | 1400 MORGAN STANLEY AVE UNIT 328
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City | WINTER PARK
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State | FL
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Zip | 32789-1987
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Country | US
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Telephone | 407-687-6372
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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 | SZ12476
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 2355S0801X
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Taxonomy Name | Speech-Language Assistant
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License Number | 6083
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License Number State | FL
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