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General NPI Number Information
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NPI Number | 1306969449
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Entity Type | Individual
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Provider Name | TRACY MEREDITH SPITZ SLP
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Gender | Female
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Dates
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Enumeration Date | 04/06/2007
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Last Update Date | 07/09/2007
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Provider Practice Location Address
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Address Line | 4284 SW 161ST PL
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City | MIAMI
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State | FL
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Zip | 33185-3826
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Country | US
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Telephone | 786-208-2814
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Fax | 305-228-6251
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Provider Business Mailing Address
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Address Line | 10205 COLLINS AVE APT. #104
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City | BAL HARBOUR
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State | FL
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Zip | 33154-1403
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Country | US
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Telephone | 646-242-4610
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Fax | 305-228-6251
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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 | SA 7878
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License Number State | FL
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