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General NPI Number Information
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NPI Number | 1548494172
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Entity Type | Individual
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Provider Name | ESPERANZA RUIZ JUNCO
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Gender | Female
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Dates
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Enumeration Date | 05/11/2009
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Last Update Date | 01/06/2024
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Provider Practice Location Address
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Address Line | 2901 S PALM AIRE DR APT 609
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City | POMPANO BEACH
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State | FL
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Zip | 33069-4213
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Country | US
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Telephone | 631-455-2757
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Fax | 754-800-2719
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Provider Business Mailing Address
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Address Line | 2901 S PALM AIRE DR APT 609
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City | POMPANO BEACH
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State | FL
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Zip | 33069-4213
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Country | US
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Telephone | 631-455-2757
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Fax | 754-800-2719
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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 | 018813-1
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License Number State | NY
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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 | 18893
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License Number State | FL
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