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General NPI Number Information
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NPI Number | 1447463104
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Entity Type | Individual
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Provider Name | MIRLA ANN ARTEAGA-CESPEDES
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Gender | Female
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Dates
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Enumeration Date | 05/08/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1611 NW 12TH AVE TRA #491
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City | MIAMI
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State | FL
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Zip | 33136-1005
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Country | US
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Telephone | 305-585-1260
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Fax |
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Provider Business Mailing Address
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Address Line | 6720 SW 69TH TER
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City | SOUTH MIAMI
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State | FL
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Zip | 33143-3135
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Country | US
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Telephone | 305-667-7391
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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 4661
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License Number State | FL
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