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NPI 1326875352

NPI 1326875352 : CLAUDIA FUNDORA : HIALEAH, FL

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General NPI Number Information
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    NPI Number           |    1326875352
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    Entity Type          |    Individual 
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    Provider Name        |    CLAUDIA FUNDORA
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    09/16/2024
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    Last Update Date     |    02/10/2026
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Provider Practice Location Address
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    Address Line         |    21 E 3RD ST APT 101 
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    City                 |    HIALEAH
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    State                |    FL
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    Zip                  |    33010-4982
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    Country              |    US
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    Telephone            |    772-812-4137
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    21 E 3RD ST APT 101 
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    City                 |    HIALEAH
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    State                |    FL
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    Zip                  |    33010-4982
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    Country              |    US
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    Telephone            |    772-812-4137
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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        |    2355A2700X
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    Taxonomy Name        |    Audiology Assistant
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    License Number       |    AI605
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    License Number State |    FL
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Taxonomy #2
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    Taxonomy Code        |    2355S0801X
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    Taxonomy Name        |    Speech-Language Assistant
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    License Number       |    SI7294
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    License Number State |    FL
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Taxonomy #3
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    Taxonomy Code        |    222Q00000X
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    Taxonomy Name        |    Developmental Therapist
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    License Number       |    
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    License Number State |    
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