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General NPI Number Information
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NPI Number | 1295690659
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Entity Type | Organization
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Legal Business Name | EPHPHATHA SPEECH THERAPY LLC
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Dates
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Enumeration Date | 12/18/2025
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Last Update Date | 12/18/2025
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Provider Practice Location Address
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Address Line | 1610 CYPRESS POINTE DR
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City | CORAL SPRINGS
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State | FL
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Zip | 33071-4269
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Country | US
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Telephone | 917-685-8012
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Fax |
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Provider Business Mailing Address
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Address Line | 1610 CYPRESS POINTE DR
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City | CORAL SPRINGS
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State | FL
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Zip | 33071-4269
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Country | US
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Telephone | 917-685-8012
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Fax |
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Authorized Official
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Title or Position | OWNER/SPEECH LANGUAGE PATHOLOGIST
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Name | MARIA BAILEY
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Credential | MS, CCC-SLP
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Telephone | 917-685-8012
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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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