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General NPI Number Information
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NPI Number | 1528919222
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Entity Type | Organization
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Legal Business Name | EXPRESSIVE EDGE THERAPY
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Dates
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Enumeration Date | 02/07/2026
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Last Update Date | 02/07/2026
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Provider Practice Location Address
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Address Line | 3631 HAVENDALE BLVD STE B
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City | AUBURNDALE
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State | FL
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Zip | 33823-4605
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Country | US
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Telephone | 863-514-7525
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Fax |
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Provider Business Mailing Address
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Address Line | 1004 LAKESHORE DR
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City | AUBURNDALE
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State | FL
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Zip | 33823-9738
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Country | US
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Telephone | 863-514-7525
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Fax |
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Authorized Official
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Title or Position | SPEECH LANGUAGE PATHOLOGIST
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Name | MRS. DEAN SMITH WHITNEY
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Credential | MS, CCC-SLP
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Telephone | 863-514-7525
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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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