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General NPI Number Information
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NPI Number | 1285637892
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Entity Type | Organization
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Legal Business Name | AUDIOLOGY AND SPEECH PATHOLOGY, INC
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Dates
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Enumeration Date | 05/27/2005
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Last Update Date | 04/29/2008
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Provider Practice Location Address
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Address Line | 3540 FOREST HILL BLVD STE 205
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City | WEST PALM BEACH
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State | FL
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Zip | 33406-5878
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Country | US
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Telephone | 561-649-4006
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Fax | 561-969-6621
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Provider Business Mailing Address
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Address Line | 3540 FOREST HILL BLVD STE 205
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City | WEST PALM BEACH
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State | FL
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Zip | 33406-5878
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Country | US
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Telephone | 561-649-4006
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Fax | 561-969-6621
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Authorized Official
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Title or Position | PRESIDENT
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Name | MEL GRANT
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Credential | AU.D.
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Telephone | 561-649-4006
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 231H00000X
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Taxonomy Name | Audiologist
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License Number |
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License Number State | FL
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