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NPI 1407424906

NPI 1407424906 : ACCESSIBILITY CLINIC INC : WINTER GARDEN, FL

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General NPI Number Information
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    NPI Number           |    1407424906
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    Entity Type          |    Organization 
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    Legal Business Name  |    ACCESSIBILITY CLINIC INC 
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Dates
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    Enumeration Date     |    06/12/2021
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    Last Update Date     |    06/12/2021
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Provider Practice Location Address
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    Address Line         |    1357 SELBYDON WAY 
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    City                 |    WINTER GARDEN
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    State                |    FL
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    Zip                  |    34787-4652
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    Country              |    US
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    Telephone            |    352-536-4981
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    1357 SELBYDON WAY 
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    City                 |    WINTER GARDEN
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    State                |    FL
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    Zip                  |    34787-4652
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    Country              |    US
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    Telephone            |    352-536-4981
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    Fax                  |    
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |     JEFFREY S DAVIS 
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    Credential           |    
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    Telephone            |    352-536-4981
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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       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    251V00000X
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    Taxonomy Name        |    Voluntary or Charitable Agency
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    License Number       |    
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    License Number State |    
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Taxonomy #3
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    Taxonomy Code        |    225CA2400X
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    Taxonomy Name        |    Assistive Technology Practitioner Rehabilitation Counselor
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    License Number       |    
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    License Number State |    
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