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General NPI Number Information
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NPI Number | 1497271530
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Entity Type | Individual
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Provider Name | JENNY M SOAREZ WILLIAMS M.S., CCC-SLP
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Gender | Female
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Dates
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Enumeration Date | 08/21/2017
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Last Update Date | 09/16/2025
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Provider Practice Location Address
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Address Line | 10794 SW 24TH ST
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City | MIAMI
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State | FL
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Zip | 33165-2499
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Country | US
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Telephone | 786-237-1483
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Fax |
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Provider Business Mailing Address
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Address Line | 5250 NW 84TH AVE APT 1601
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City | DORAL
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State | FL
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Zip | 33166-5387
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Country | US
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Telephone | 305-775-7749
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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 | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number | RBT-17-39102
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License Number State | FL
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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 | SA23621
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License Number State | FL
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