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General NPI Number Information
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NPI Number | 1316161524
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Entity Type | Individual
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Provider Name | KATHERINE ANN TROFIBIO MA,CCC - SLP
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Gender | Female
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Dates
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Enumeration Date | 04/12/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 6595 NW 36 ST SUITE 305-2
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City | VIRGINIA GARDENS
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State | FL
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Zip | 33166-6967
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Country | US
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Telephone | 305-874-1300
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Fax | 877-442-7773
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Provider Business Mailing Address
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Address Line | 16518 NE 26TH AVE APT # 403
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City | N MIAMI BEACH
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State | FL
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Zip | 33160-4021
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Country | US
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Telephone | 786-942-2877
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Fax | 305-945-5764
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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 | SA5040
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License Number State | FL
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