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General NPI Number Information
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NPI Number | 1578458105
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Entity Type | Individual
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Provider Name | JOSE RENE AYALA
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Gender | Male
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Dates
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Enumeration Date | 06/12/2025
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Last Update Date | 06/12/2025
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Provider Practice Location Address
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Address Line | 13900 NE 3RD CT
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City | NORTH MIAMI
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State | FL
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Zip | 33161-2834
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Country | US
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Telephone | 305-893-2288
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Fax |
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Provider Business Mailing Address
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Address Line | 2470 SW 108TH PL
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City | MIAMI
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State | FL
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Zip | 33165-2486
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Country | US
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Telephone | 305-508-8376
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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 | SA23636
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License Number State | FL
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