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General NPI Number Information
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NPI Number | 1548404312
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Entity Type | Organization
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Legal Business Name | MERRITT SPEECH & LEARNING, INC.
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Dates
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Enumeration Date | 04/23/2009
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Last Update Date | 04/08/2014
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Provider Practice Location Address
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Address Line | 1309 SAINT JOHNS BLUFF RD N STE 110
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City | JACKSONVILLE
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State | FL
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Zip | 32225-8396
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Country | US
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Telephone | 904-721-4122
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Fax | 904-721-4112
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Provider Business Mailing Address
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Address Line | 1309 SAINT JOHNS BLUFF RD N STE 110
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City | JACKSONVILLE
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State | FL
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Zip | 32225-8396
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Country | US
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Telephone | 904-721-4122
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Fax | 904-721-4112
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Authorized Official
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Title or Position | SPEECH LANGUAGE PATHOLOGIST
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Name | MS. DANA MARIE MERRITT
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Credential | MS CCC
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Telephone | 904-721-4122
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 13759
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License Number State | FL
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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 | SA 726
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License Number State | FL
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