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General NPI Number Information
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NPI Number | 1508572488
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Entity Type | Organization
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Legal Business Name | SPEECH AND LEARNING INSTITUTE, INC
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Dates
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Enumeration Date | 01/25/2023
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Last Update Date | 01/25/2023
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Provider Practice Location Address
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Address Line | 1201 US HIGHWAY 1 STE 210
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City | NORTH PALM BEACH
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State | FL
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Zip | 33408-3547
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Country | US
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Telephone | 561-776-8612
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Fax |
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Provider Business Mailing Address
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Address Line | 211 DEPOT AVE # B4-206
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City | DELRAY BEACH
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State | FL
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Zip | 33444-1627
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Country | US
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Telephone | 610-806-6650
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Fax |
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Authorized Official
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Title or Position | CLINIC DIRECTOR
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Name | JACLYN THEECK
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Credential | M.A. CCC-SLP
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Telephone | 561-776-8612
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0700X
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Taxonomy Name | Hearing and Speech Clinic/Center
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License Number |
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License Number State |
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