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General NPI Number Information
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NPI Number | 1316249253
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Entity Type | Individual
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Provider Name | JANINE CAMPOS B.S. SLP-A
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Gender | Female
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Dates
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Enumeration Date | 11/29/2010
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Last Update Date | 11/29/2010
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Provider Practice Location Address
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Address Line | 160 NW 4TH ST
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City | BOCA RATON
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State | FL
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Zip | 33432-3826
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Country | US
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Telephone | 561-391-8444
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Fax | 561-391-6823
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Provider Business Mailing Address
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Address Line | 10224 VESTAL CT
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City | CORAL SPRINGS
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State | FL
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Zip | 33071-5835
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Country | US
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Telephone | 954-701-0722
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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 | 2355S0801X
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Taxonomy Name | Speech-Language Assistant
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License Number | SI1897
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License Number State | FL
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