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General NPI Number Information
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NPI Number | 1295549616
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Entity Type | Individual
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Provider Name | JULIETTE ROSE BOUNASSI
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Gender | Female
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Dates
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Enumeration Date | 02/05/2025
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Last Update Date | 02/11/2025
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Provider Practice Location Address
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Address Line | 1107 MABBETTE ST
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City | KISSIMMEE
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State | FL
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Zip | 34741-5161
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Country | US
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Telephone | 407-201-8079
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Fax |
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Provider Business Mailing Address
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Address Line | 4080 NW 83RD LN
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City | CORAL SPRINGS
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State | FL
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Zip | 33065-1316
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Country | US
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Telephone | 954-778-8829
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2355S0801X
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Taxonomy Name | Speech-Language Assistant
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License Number | 7705
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License Number State | FL
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