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General NPI Number Information
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NPI Number | 1265982847
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Entity Type | Individual
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Provider Name | ADRIANNA PALESTINA SLP
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Gender | Female
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Dates
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Enumeration Date | 10/07/2016
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Last Update Date | 10/07/2016
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Provider Practice Location Address
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Address Line | 8362 PINES BLVD SUITE 119
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City | PEMBROKE PINES
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State | FL
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Zip | 33024-6600
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Country | US
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Telephone | 786-623-4053
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Fax | 786-524-0250
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Provider Business Mailing Address
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Address Line | 540 NW 165TH ST STE 111
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City | MIAMI
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State | FL
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Zip | 33169-6304
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Country | US
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Telephone | 786-623-4053
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Fax | 786-524-0250
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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 | SZ7889
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License Number State | FL
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