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General NPI Number Information
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NPI Number | 1295534006
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Entity Type | Organization
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Legal Business Name | MADISON SPEECH CENTER
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Dates
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Enumeration Date | 03/12/2025
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Last Update Date | 03/12/2025
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Provider Practice Location Address
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Address Line | 23123 STATE ROAD 7 STE 215
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City | BOCA RATON
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State | FL
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Zip | 33428-5407
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Country | US
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Telephone | 561-376-9961
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Fax |
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Provider Business Mailing Address
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Address Line | 10099 UMBERLAND PL
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City | BOCA RATON
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State | FL
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Zip | 33428-4233
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MADISON LEVINE
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Credential | CCC-SLP
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Telephone | 561-376-9961
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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