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General NPI Number Information
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NPI Number | 1346432234
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Entity Type | Individual
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Provider Name | MARIE-JUDE NATALIE JEOFFROY
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Gender | Female
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Dates
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Enumeration Date | 08/14/2007
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Last Update Date | 08/14/2007
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Provider Practice Location Address
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Address Line | 561 E MITCHELL HAMMOCK RD SUITE 400
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City | OVIEDO
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State | FL
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Zip | 32765-5526
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Country | US
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Telephone | 407-810-2225
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Fax | 407-971-9698
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Provider Business Mailing Address
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Address Line | 3374 CEDAR SPRINGS PL
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City | WINTER PARK
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State | FL
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Zip | 32792-6554
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Country | US
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Telephone | 407-963-5336
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Fax | 407-971-9698
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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 7856
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License Number State | FL
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