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General NPI Number Information
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NPI Number | 1407177033
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Entity Type | Organization
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Legal Business Name | S.P.O.T. THERAPY CENTER
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Dates
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Enumeration Date | 06/17/2010
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Last Update Date | 10/20/2010
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Provider Practice Location Address
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Address Line | 2328 HANCOCK BRIDGE PKWY SUITE 106
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City | CAPE CORAL
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State | FL
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Zip | 33990-1459
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Country | US
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Telephone | 239-573-2368
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Fax | 239-573-2302
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Provider Business Mailing Address
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Address Line | 2328 HANCOCK BRIDGE PKWY SUITE 106
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City | CAPE CORAL
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State | FL
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Zip | 33990-1459
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Country | US
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Telephone | 239-573-2368
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Fax | 239-573-2302
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Authorized Official
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Title or Position | SPEECH AND LANGUAGE PATHOLOGIST
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Name | MRS. ANA CRISTINA ZIEGLER
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Credential | MS-CCC-SLP
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Telephone | 239-478-7676
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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 | SA6119
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License Number State | FL
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