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General NPI Number Information
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NPI Number | 1376842781
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Entity Type | Organization
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Legal Business Name | BILINGUAL THERAPY SOLUTION FOR KIDS,INC
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Dates
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Enumeration Date | 03/24/2011
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Last Update Date | 03/24/2011
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Provider Practice Location Address
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Address Line | 1154 IMPERIAL LAKE RD
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City | WEST PALM BEACH
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State | FL
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Zip | 33413-1078
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Country | US
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Telephone | 561-283-9268
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Fax | 561-429-2411
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Provider Business Mailing Address
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Address Line | 1154 IMPERIAL LAKE RD
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City | WEST PALM BEACH
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State | FL
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Zip | 33413-1078
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Country | US
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Telephone | 561-283-9268
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Fax | 561-429-2411
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Authorized Official
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Title or Position | SLP-A
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Name | MRS. MARIA M BRAVO-PEREZ
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Credential | BS
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Telephone | 561-283-9268
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 252Y00000X
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Taxonomy Name | Early Intervention Provider Agency
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License Number | SI 1275
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License Number State | GA
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