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General NPI Number Information
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NPI Number | 1487103750
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Entity Type | Organization
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Legal Business Name | SPEECH-LANGAUGE THERAPY FOR KIDS, INC.
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Dates
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Enumeration Date | 09/28/2016
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Last Update Date | 09/28/2016
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Provider Practice Location Address
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Address Line | 7391 ANDORRA PL
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City | BOCA RATON
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State | FL
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Zip | 33433-4955
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Country | US
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Telephone | 718-509-5393
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Fax |
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Provider Business Mailing Address
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Address Line | 7391 ANDORRA PL
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City | BOCA RATON
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State | FL
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Zip | 33433-4955
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | CHANA OPOCZYNSKI
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Credential |
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Telephone | 718-509-5393
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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 13056
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License Number State | ZZ
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