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General NPI Number Information
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NPI Number | 1447395157
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Entity Type | Individual
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Provider Name | LUISA DIMARIS PEREZ
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Gender | Female
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Dates
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Enumeration Date | 02/20/2007
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Last Update Date | 12/02/2020
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Provider Practice Location Address
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Address Line | 7425 SW 42ND ST
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City | MIAMI
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State | FL
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Zip | 33155-4402
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Country | US
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Telephone | 305-626-5999
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Fax | 305-262-8999
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Provider Business Mailing Address
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Address Line | 3490 NEW FAWN LN
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City | ALPHARETTA
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State | GA
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Zip | 30004-4438
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Country | US
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Telephone | 305-761-5505
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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 | SA 8874
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | SLP010991
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License Number State | GA
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