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General NPI Number Information
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NPI Number | 1285941732
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Entity Type | Organization
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Legal Business Name | CHATTERBOX THERAPY SERVICES
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Dates
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Enumeration Date | 09/04/2010
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Last Update Date | 09/04/2010
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Provider Practice Location Address
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Address Line | 8481 SW 167TH TER
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City | PALMETTO BAY
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State | FL
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Zip | 33157-0401
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Country | US
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Telephone | 786-271-8964
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Fax |
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Provider Business Mailing Address
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Address Line | 8481 SW 167TH TER
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City | PALMETTO BAY
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State | FL
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Zip | 33157-0401
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Country | US
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Telephone | 786-271-8964
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. SANDRA TIBALDEO
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Credential | M.S. CCC-SLP
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Telephone | 786-271-8964
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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 | 6310
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License Number State | FL
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