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General NPI Number Information
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NPI Number | 1528746872
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Entity Type | Organization
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Legal Business Name | COMMUNICATION THERAPY CLINIC, LLC
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Dates
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Enumeration Date | 07/07/2023
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Last Update Date | 06/01/2024
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Provider Practice Location Address
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Address Line | 8320 W SUNRISE BLVD STE 213
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City | PLANTATION
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State | FL
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Zip | 33322-5432
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Country | US
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Telephone | 954-408-3708
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Fax |
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Provider Business Mailing Address
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Address Line | 3840 NW 120TH WAY
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City | SUNRISE
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State | FL
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Zip | 33323-2638
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Country | US
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Telephone | 808-386-0886
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Fax |
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Authorized Official
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Title or Position | CEO; SPEECH-LANGUAGE PATHOLOGIST
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Name | TRISHA BORRERO
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Credential | M.S., CCC-SLP, ASDCS
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Telephone | 954-408-3708
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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 |
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License Number State |
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