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NPI 1518362037

NPI 1518362037 : SMART SPEECH CENTER, INC. : GUAYAMA, PR

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General NPI Number Information
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    NPI Number           |    1518362037
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    Entity Type          |    Organization 
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    Legal Business Name  |    SMART SPEECH CENTER, INC. 
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Dates
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    Enumeration Date     |    10/27/2014
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    Last Update Date     |    10/27/2014
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Provider Practice Location Address
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    Address Line         |    63 BALDORIOTY SUITE 104 
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    City                 |    GUAYAMA
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    State                |    PR
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    Zip                  |    00784
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    Country              |    US
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    Telephone            |    787-362-6842
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    PO BOX 1214 
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    City                 |    GUAYAMA
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    State                |    PR
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    Zip                  |    00785-1214
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    Country              |    US
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    Telephone            |    787-362-6842
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    Fax                  |    
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |    MRS. ELSA MARIE FIGUEROA 
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    Credential           |    SLP
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    Telephone            |    787-362-6842
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    261QH0100X
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    Taxonomy Name        |    Health Service Clinic/Center
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    License Number       |    1044
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    License Number State |    PR
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