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General NPI Number Information
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NPI Number | 1497122725
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Entity Type | Organization
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Legal Business Name | ABSOLUTE THERAPY, LLC
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Dates
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Enumeration Date | 08/21/2015
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Last Update Date | 01/29/2024
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Provider Practice Location Address
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Address Line | 930 N FERDON BLVD
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City | CRESTVIEW
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State | FL
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Zip | 32536-1706
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Country | US
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Telephone | 850-331-2987
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Fax | 850-398-5008
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Provider Business Mailing Address
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Address Line | 930 N FERDON BLVD
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City | CRESTVIEW
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State | FL
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Zip | 32536-1706
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Country | US
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Telephone | 850-331-2987
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Fax | 850-398-5008
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Authorized Official
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Title or Position | SLP/DIRECTOR
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Name | DEBBY TORRES
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Credential |
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Telephone | 850-331-2987
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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 10901
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License Number State | FL
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Taxonomy #2
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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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