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General NPI Number Information
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NPI Number | 1285878355
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Entity Type | Organization
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Legal Business Name | CHILDREN'S THERAPY CENTER & MORE, INC.
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Dates
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Enumeration Date | 04/21/2009
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Last Update Date | 09/18/2024
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Provider Practice Location Address
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Address Line | 2645 EXECUTIVE PARK DRIVE
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City | WESTON
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State | FL
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Zip | 33331-3195
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Country | US
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Telephone | 954-644-2645
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Fax |
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Provider Business Mailing Address
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Address Line | 4474 WESTON RD MB 214
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City | DAVIE
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State | FL
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Zip | 33331-3195
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Country | US
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Telephone | 954-644-2645
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | MS. EDITH LISBETH JACIR
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Credential | M.A., CCC-SLP
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Telephone | 954-644-2645
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | OT6348
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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 | SI2159
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 2355S0801X
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Taxonomy Name | Speech-Language Assistant
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License Number | SI2315
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License Number State | FL
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Taxonomy #4
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Taxonomy Code | 2355S0801X
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Taxonomy Name | Speech-Language Assistant
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License Number | SI1600
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License Number State | FL
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Taxonomy #5
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | SA9928
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License Number State | FL
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Taxonomy #6
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | SA11679
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License Number State | FL
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Taxonomy #7
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | SA10914
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License Number State | FL
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Taxonomy #8
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | SZ6478
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License Number State | FL
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Taxonomy #9
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | SA5276
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License Number State | FL
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