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General NPI Number Information
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NPI Number | 1265532667
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Entity Type | Individual
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Provider Name | NICOLE MARIE AUGERI M.A.,CCC-SLP
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Gender | Female
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Dates
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Enumeration Date | 09/25/2006
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Last Update Date | 03/30/2012
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Provider Practice Location Address
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Address Line | 601 W MICHIGAN ST
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City | ORLANDO
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State | FL
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Zip | 32805-6203
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Country | US
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Telephone | 407-317-7430
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Fax |
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Provider Business Mailing Address
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Address Line | 1413 WEBER ST
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City | ORLANDO
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State | FL
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Zip | 32803-3337
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Country | US
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Telephone | 407-247-6925
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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 | SA7928
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | SA7928
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License Number State | FL
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