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General NPI Number Information
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NPI Number | 1548515703
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Entity Type | Organization
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Legal Business Name | BILINGUAL SPEECH-LANGUAGE PATHOLOGY, LLC
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Dates
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Enumeration Date | 07/13/2012
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Last Update Date | 07/13/2012
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Provider Practice Location Address
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Address Line | 3632 LAND O LAKES BLVD SUITE 104 ROOM 3
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City | LAND O LAKES
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State | FL
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Zip | 34639-4405
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Country | US
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Telephone | 813-388-3789
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Fax |
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Provider Business Mailing Address
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Address Line | 3632 LAND O LAKES BLVD SUITE 104 ROOM 3
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City | LAND O LAKES
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State | FL
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Zip | 34639-4405
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Country | US
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Telephone | 813-388-3789
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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 | DIANA JULBE-DELGADO
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Credential | M.S.
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Telephone | 813-388-3789
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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 | SA10985
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License Number State | FL
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