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General NPI Number Information
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NPI Number | 1316430911
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Entity Type | Individual
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Provider Name | GABRIELA MENDEZ
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Gender | Female
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Dates
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Enumeration Date | 06/08/2018
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Last Update Date | 03/21/2023
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Provider Practice Location Address
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Address Line | 8415 SW 24TH STREET SUITE #205
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City | MIAMI
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State | FL
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Zip | 33155
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Country | US
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Telephone | 786-973-6363
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Fax |
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Provider Business Mailing Address
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Address Line | 1301 SW 74 CT
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City | MIAMI
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State | FL
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Zip | 33144
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Country | US
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Telephone | 786-973-6363
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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 | SI3494
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License Number State | FL
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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 | SA19238
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License Number State | FL
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