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General NPI Number Information
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NPI Number | 1447358346
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Entity Type | Individual
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Provider Name | MONICA L. RAGUSA CCC-SLP
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Gender | Female
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Dates
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Enumeration Date | 09/21/2006
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Last Update Date | 11/01/2019
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Provider Practice Location Address
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Address Line | 11440 N KENDALL DR STE 109
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City | MIAMI
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State | FL
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Zip | 33176-1024
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Country | US
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Telephone | 305-929-8705
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Fax | 305-600-3714
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Provider Business Mailing Address
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Address Line | 19641 SW 79TH PL
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City | MIAMI
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State | FL
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Zip | 33189-2150
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Country | US
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Telephone | 305-252-5565
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | SA6763
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 222Q00000X
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Taxonomy Name | Developmental Therapist
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License Number |
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License Number State |
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