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General NPI Number Information
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NPI Number | 1336521665
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Entity Type | Individual
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Provider Name | COURTNEY HUERTH HENRY
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Gender | Female
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Dates
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Enumeration Date | 06/23/2015
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Last Update Date | 04/08/2020
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Provider Practice Location Address
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Address Line | 3100 SW 62ND AVE
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City | MIAMI
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State | FL
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Zip | 33155-3009
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Country | US
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Telephone | 305-571-8719
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Fax |
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Provider Business Mailing Address
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Address Line | 5201 ORDUNA DR APT 5
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City | CORAL GABLES
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State | FL
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Zip | 33146-2655
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Country | US
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Telephone | 608-963-2487
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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 | SA14593
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License Number State | FL
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