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General NPI Number Information
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NPI Number | 1376743716
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Entity Type | Organization
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Legal Business Name | DIMENSIONS ACHIEVEMENTS IN THERAPY
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Dates
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Enumeration Date | 07/24/2007
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Last Update Date | 07/24/2007
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Provider Practice Location Address
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Address Line | 20704 W DIXIE HWY
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City | AVENTURA
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State | FL
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Zip | 33180-1146
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Country | US
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Telephone | 305-933-5887
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Fax |
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Provider Business Mailing Address
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Address Line | 20704 W DIXIE HWY
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City | AVENTURA
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State | FL
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Zip | 33180-1146
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Country | US
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Telephone | 305-933-5887
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Fax |
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Authorized Official
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Title or Position | SPEECH LANGUAGEASSISTANT
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Name | MRS. SCARLET MITCHELL RAY
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Credential | SLPA
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Telephone | 305-933-5887
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 320700000X
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Taxonomy Name | Physical Disabilities Residential Treatment Facility
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License Number | SI1029
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License Number State | FL
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