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General NPI Number Information
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NPI Number | 1477897015
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Entity Type | Individual
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Provider Name | ANNA E HURTADO M.S., CCC-SLP
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Gender | Female
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Dates
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Enumeration Date | 11/20/2012
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Last Update Date | 11/25/2022
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Provider Practice Location Address
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Address Line | 1002 S DILLARD ST STE 106
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City | WINTER GARDEN
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State | FL
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Zip | 34787-3991
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Country | US
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Telephone | 407-877-0029
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Fax | 407-358-5207
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Provider Business Mailing Address
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Address Line | 15037 LAKE BESSIE LOOP
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City | WINTER GARDEN
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State | FL
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Zip | 34787-9281
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Country | US
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Telephone | 601-606-7059
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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 | S3449
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License Number State | MS
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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 | SA18456
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License Number State | FL
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