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General NPI Number Information
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NPI Number | 1518290444
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Entity Type | Organization
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Legal Business Name | SWEET TALK, LLC
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Dates
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Enumeration Date | 09/10/2009
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Last Update Date | 06/13/2011
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Provider Practice Location Address
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Address Line | 805 DUVAL CT
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City | SAFETY HARBOR
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State | FL
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Zip | 34695-2635
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Country | US
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Telephone | 727-418-9925
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Fax |
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Provider Business Mailing Address
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Address Line | 805 DUVAL CT
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City | SAFETY HARBOR
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State | FL
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Zip | 34695-2635
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Country | US
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Telephone | 727-418-9925
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Fax |
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Authorized Official
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Title or Position | OWNER/SPEECH-LANGUAGE PATHOLOGIST
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Name | PAIGE SHUSTER
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Credential | M.A., CCC-SLP
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Telephone | 727-418-9925
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 222Q00000X
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Taxonomy Name | Developmental Therapist
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License Number | 001954200
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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 | SA9686
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License Number State | FL
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