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General NPI Number Information
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NPI Number | 1295872539
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Entity Type | Individual
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Provider Name | JOSE G PADIN PHD CCCSLP
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Gender | Male
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Dates
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Enumeration Date | 01/30/2007
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Last Update Date | 11/20/2009
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Provider Practice Location Address
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Address Line | 1610 LENOX 207
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City | MIAMI BEACH
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State | FL
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Zip | 33139
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Country | US
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Telephone | 305-397-7492
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Fax |
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Provider Business Mailing Address
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Address Line | 1610 LENOX 207
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City | MIAMI BEACH
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State | FL
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Zip | 33139
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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 |
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 2007001670
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | SA9244
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License Number State | FL
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