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General NPI Number Information
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NPI Number | 1568553618
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Entity Type | Organization
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Legal Business Name | BUILDING BLOCKS REAB, INC.
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Dates
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Enumeration Date | 09/27/2006
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Last Update Date | 09/03/2009
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Provider Practice Location Address
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Address Line | 2233 CALAIS DR APT 32D
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City | MIAMI BEACH
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State | FL
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Zip | 33141-3410
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Country | US
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Telephone | 305-409-2019
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Fax | 305-867-8686
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Provider Business Mailing Address
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Address Line | 2233 CALAIS DR APT 32D
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City | MIAMI BEACH
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State | FL
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Zip | 33141-3410
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Country | US
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Telephone | 305-409-2019
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Fax | 305-867-8686
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Authorized Official
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Title or Position | SPEECH PATHOLOGIST
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Name | MISS JESSICA PAZ
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Credential | MA CCC-SLP
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Telephone | 305-409-2019
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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 7607
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License Number State | FL
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