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General NPI Number Information
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NPI Number | 1326626672
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Entity Type | Organization
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Legal Business Name | COMMUNICATING ABOVE BARRIERS LLC
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Dates
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Enumeration Date | 03/30/2021
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Last Update Date | 03/30/2021
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Provider Practice Location Address
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Address Line | 17773 SW 2ND ST
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City | PEMBROKE PINES
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State | FL
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Zip | 33029-3924
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Country | US
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Telephone | 954-884-0088
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Fax | 954-416-6927
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Provider Business Mailing Address
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Address Line | 2820 DEVONWOOD AVE
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City | MIRAMAR
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State | FL
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Zip | 33025-2444
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Country | US
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Telephone | 954-536-2215
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Fax | 954-416-6927
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Authorized Official
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Title or Position | OWNER
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Name | DONYA AMANDA BRADDOCK
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Credential | MS, CCC, SLP
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Telephone | 954-536-2215
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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 |
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License Number State |
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