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General NPI Number Information
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NPI Number | 1407084825
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Entity Type | Organization
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Legal Business Name | SOUTH FLORIDA SPEECH AND LANGUAGE SERVICES, INC,
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Dates
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Enumeration Date | 06/24/2009
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Last Update Date | 06/24/2009
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Provider Practice Location Address
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Address Line | 504 SW 20TH ST
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City | BOYNTON BEACH
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State | FL
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Zip | 33426-4621
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Country | US
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Telephone | 561-502-8487
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Fax |
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Provider Business Mailing Address
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Address Line | 5365 HUNTERS CREEK TRL
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City | FRISCO
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State | TX
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Zip | 75034-1713
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Country | US
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Telephone | 561-502-8487
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Fax | 561-642-9397
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Authorized Official
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Title or Position | PRESIDENT/OWNER
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Name | MRS. KARI L DEWEESE
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Credential | M.S., CCC-SLP
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Telephone | 561-502-8487
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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 | SA 6981
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License Number State | FL
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