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General NPI Number Information
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NPI Number | 1508101288
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Entity Type | Individual
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Provider Name | ANA MARIA GUTIERREZ MS, SLP
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Gender | Female
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Dates
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Enumeration Date | 12/06/2012
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Last Update Date | 01/20/2020
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Provider Practice Location Address
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Address Line | 16200 EMERALD COVE RD
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City | WESTON
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State | FL
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Zip | 33331-3131
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Country | US
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Telephone | 305-985-6122
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Fax |
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Provider Business Mailing Address
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Address Line | 380 RACQUET CLUB RD APT 206
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City | WESTON
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State | FL
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Zip | 33326-1125
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Country | US
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Telephone | 305-726-8663
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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 | SA13387
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License Number State | FL
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