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General NPI Number Information
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NPI Number | 1295641389
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Entity Type | Organization
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Legal Business Name | BLOOMING VOICES PEDIATRIC SPEECH AND LANGUAGE THERAPY LLC
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Dates
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Enumeration Date | 08/20/2026
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Last Update Date | 08/20/2026
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Provider Practice Location Address
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Address Line | 5 WELLS PL
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City | MIDDLESEX
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State | NJ
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Zip | 08846-1311
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Country | US
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Telephone | 848-343-9623
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Fax |
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Provider Business Mailing Address
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Address Line | 458 ELIZABETH AVE STE 5-321
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City | SOMERSET
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State | NJ
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Zip | 08873-5110
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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 | SPEECH-LANGUAGE PATHOLOGIST
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Name | SIMONA VIRA
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Credential | M.S. CCC-SLP, TSSLD
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Telephone | 917-769-4122
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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 |
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License Number State |
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