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General NPI Number Information
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NPI Number | 1447738240
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Entity Type | Individual
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Provider Name | MEENU E THOMAS MS CCC-SLP
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Gender | Female
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Dates
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Enumeration Date | 08/02/2018
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 4301 S FLAMINGO RD STE 101
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City | DAVIE
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State | FL
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Zip | 33330-1902
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Country | US
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Telephone | 954-312-3449
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Fax | 954-251-2752
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Provider Business Mailing Address
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Address Line | 2421 NE 65TH ST APT 411
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City | FORT LAUDERDALE
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State | FL
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Zip | 33308-1559
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Country | US
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Telephone | 908-265-0416
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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 | SZ8629
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License Number State | FL
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