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General NPI Number Information
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NPI Number | 1538294111
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Entity Type | Organization
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Legal Business Name | MIAMI FLUENCY CLINIC, INC.
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Dates
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Enumeration Date | 02/22/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 12515 ORANGE DR SUITE 809
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City | DAVIE
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State | FL
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Zip | 33330-4309
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Country | US
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Telephone | 954-424-0380
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Fax | 954-424-9971
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Provider Business Mailing Address
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Address Line | 12515 ORANGE DR SUITE 809
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City | DAVIE
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State | FL
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Zip | 33330-4309
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Country | US
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Telephone | 954-424-0380
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Fax | 954-424-9971
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Authorized Official
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Title or Position | OWNER
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Name | MS. MARIANNE SPLITTER
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Credential | S.L.P.
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Telephone | 954-424-0380
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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 2325
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License Number State | FL
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