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General NPI Number Information
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NPI Number | 1497418552
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Entity Type | Individual
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Provider Name | REBECCA LANDAU
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Gender | Female
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Dates
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Enumeration Date | 10/15/2021
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Last Update Date | 10/15/2021
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Provider Practice Location Address
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Address Line | 301 CAMINO GARDENS BLVD STE 104
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City | BOCA RATON
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State | FL
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Zip | 33432-5823
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Country | US
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Telephone | 562-494-4499
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Fax |
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Provider Business Mailing Address
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Address Line | 10734 LAKE JASMINE DR
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City | BOCA RATON
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State | FL
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Zip | 33498-1505
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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 |
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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 |
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License Number State |
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