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NPI 1538913496

NPI 1538913496 : ALEXANDRA ROSE BARTOLOTTA M.S., CCC-SLP TSSLD : MIAMI, FL

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General NPI Number Information
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    NPI Number           |    1538913496
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    Entity Type          |    Individual 
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    Provider Name        |    ALEXANDRA ROSE BARTOLOTTA M.S., CCC-SLP TSSLD
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    04/16/2024
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    Last Update Date     |    06/09/2025
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Provider Practice Location Address
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    Address Line         |    11601 BISCAYNE BLVD STE 312 
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    City                 |    MIAMI
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    State                |    FL
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    Zip                  |    33181-3151
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    Country              |    US
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    Telephone            |    786-206-4151
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    501 NE 31ST ST UNIT 1404 
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    City                 |    MIAMI
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    State                |    FL
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    Zip                  |    33137-4483
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    Country              |    US
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    Telephone            |    347-712-2289
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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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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Taxonomy #2
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    Taxonomy Code        |    235Z00000X
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    Taxonomy Name        |    Speech-Language Pathologist
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    License Number       |    SA22557
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    License Number State |    FL
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