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NPI 1326120858

NPI 1326120858 : DEBORAH NYMAN GARROTT SLP CCC-SLP : ORLANDO, FL

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General NPI Number Information
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    NPI Number           |    1326120858
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    Entity Type          |    Individual 
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    Provider Name        |    DEBORAH NYMAN GARROTT SLP CCC-SLP
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    10/20/2006
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    Last Update Date     |    03/17/2018
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Provider Practice Location Address
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    Address Line         |    925 S ORANGE AVE 
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    City                 |    ORLANDO
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    State                |    FL
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    Zip                  |    32806-1212
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    Country              |    US
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    Telephone            |    407-414-2400
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    3416 ROYAL ASCOT RUN 
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    City                 |    GOTHA
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    State                |    FL
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    Zip                  |    34734-5116
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    Country              |    US
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    Telephone            |    407-296-8871
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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       |    SA 1443
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    License Number State |    FL
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