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General NPI Number Information
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NPI Number | 1346800901
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Entity Type | Organization
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Legal Business Name | EXPRESSIONS 4 KIDS, LLC
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Dates
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Enumeration Date | 06/17/2019
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Last Update Date | 06/17/2019
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Provider Practice Location Address
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Address Line | 1 W CAMINO REAL STE 111
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City | BOCA RATON
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State | FL
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Zip | 33432-5966
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Country | US
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Telephone | 561-571-5287
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Fax |
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Provider Business Mailing Address
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Address Line | 1 W CAMINO REAL STE 111
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City | BOCA RATON
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State | FL
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Zip | 33432-5966
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Country | US
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Telephone | 561-571-5287
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Fax |
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Authorized Official
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Title or Position | OWNER/SLP
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Name | MRS. HILARY HASSON
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Credential | M.A., CCC-SLP
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Telephone | 561-350-0538
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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