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General NPI Number Information
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NPI Number | 1356016240
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Entity Type | Organization
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Legal Business Name | HABLAME SPEECH THERAPY
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Dates
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Enumeration Date | 08/12/2021
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Last Update Date | 08/12/2021
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Provider Practice Location Address
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Address Line | 3442 OAK PARK AVE
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City | BERWYN
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State | IL
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Zip | 60402-3617
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Country | US
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Telephone | 773-937-5011
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Fax |
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Provider Business Mailing Address
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Address Line | 3442 OAK PARK AVE
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City | BERWYN
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State | IL
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Zip | 60402-3617
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Country | US
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Telephone | 773-937-5011
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MELISSA TAPIA
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Credential | M.S. CCC-SLP
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Telephone | 773-937-5011
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0700X
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Taxonomy Name | Hearing and Speech Clinic/Center
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License Number |
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License Number State |
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