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General NPI Number Information
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NPI Number | 1588117493
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Entity Type | Individual
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Provider Name | MEGAN TOMBLEY
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Gender | Female
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Dates
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Enumeration Date | 07/27/2016
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Last Update Date | 09/08/2020
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Provider Practice Location Address
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Address Line | 2121 SW 3RD AVE STE 405
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City | MIAMI
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State | FL
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Zip | 33129-1458
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Country | US
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Telephone | 786-773-2561
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Fax |
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Provider Business Mailing Address
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Address Line | 2121 SW 3RD AVE STE 405
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City | MIAMI
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State | FL
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Zip | 33129-1458
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Country | US
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Telephone | 786-773-2561
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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 | 2355S0801X
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Taxonomy Name | Speech-Language Assistant
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License Number | SI2903
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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 | SZ9780
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License Number State | FL
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