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General NPI Number Information
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NPI Number | 1346927316
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Entity Type | Individual
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Provider Name | ANGELICA GALBAN
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Gender | Female
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Dates
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Enumeration Date | 06/30/2023
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Last Update Date | 04/29/2024
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Provider Practice Location Address
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Address Line | 14400 NW 77TH CT
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City | MIAMI LAKES
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State | FL
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Zip | 33016-1589
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Country | US
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Telephone | 305-653-5155
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Fax |
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Provider Business Mailing Address
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Address Line | 15935 SW 82ND ST
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City | MIAMI
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State | FL
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Zip | 33193-3087
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Country | US
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Telephone |
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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 | SZ11073
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 22437
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License Number State | FL
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