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General NPI Number Information
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NPI Number | 1285986521
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Entity Type | Organization
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Legal Business Name | ELENA UGAS P.A
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Dates
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Enumeration Date | 10/10/2012
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Last Update Date | 10/02/2021
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Provider Practice Location Address
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Address Line | 1781 NW 123RD AVE
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City | PEMBROKE PINES
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State | FL
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Zip | 33026-4383
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Country | US
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Telephone | 754-423-3111
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Fax | 954-589-2691
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Provider Business Mailing Address
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Address Line | 1781 NW 123RD AVE
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City | PEMBROKE PINES
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State | FL
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Zip | 33026-4383
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Country | US
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Telephone | 754-423-3111
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Fax |
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Authorized Official
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Title or Position | PRESIDENT/DIRECTOR OF REHAB
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Name | ELENA UGAS
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Credential | M.S., CCC-SLP
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Telephone | 754-423-3111
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number |
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License Number State |
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