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General NPI Number Information
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NPI Number | 1528592706
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Entity Type | Organization
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Legal Business Name | SPEAK EASY OF THE PALM BEACHES INC
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Dates
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Enumeration Date | 04/14/2017
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Last Update Date | 04/14/2017
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Provider Practice Location Address
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Address Line | 2608 ACKLINS RD
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City | WEST PALM BEACH
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State | FL
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Zip | 33406-7750
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Country | US
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Telephone | 813-990-7170
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Fax | 561-225-1718
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Provider Business Mailing Address
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Address Line | 2608 ACKLINS RD
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City | WEST PALM BEACH
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State | FL
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Zip | 33406-7750
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Country | US
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Telephone | 813-990-7170
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Fax | 561-225-1718
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Authorized Official
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Title or Position | SPEECH-LANGUAGE PATHOLOGIST
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Name | MRS. MEGHAN MCKENNA CALLA
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Credential | M.S. CCC-SLP
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Telephone | 813-990-7170
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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 | SA 9463
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License Number State | FL
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