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General NPI Number Information
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NPI Number | 1457014268
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Entity Type | Organization
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Legal Business Name | THE ART OF SPEECH THERAPY SERVICES CORP
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Dates
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Enumeration Date | 10/19/2021
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Last Update Date | 10/19/2021
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Provider Practice Location Address
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Address Line | 13070 SW 265TH ST
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City | HOMESTEAD
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State | FL
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Zip | 33032-7818
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Country | US
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Telephone | 786-477-9617
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Fax |
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Provider Business Mailing Address
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Address Line | 13070 SW 265TH ST
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City | HOMESTEAD
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State | FL
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Zip | 33032-7818
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Country | US
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Telephone | 786-477-9617
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | SUSANA DE LA CARIDAD FRAGA
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Credential | M.S., CCC-SLP
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Telephone | 786-477-9617
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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