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General NPI Number Information
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NPI Number | 1598549925
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Entity Type | Organization
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Legal Business Name | NEUROSPECTRUM SPEECH AND LANGUAGE PATHOLOGY, LLC
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Dates
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Enumeration Date | 08/24/2023
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Last Update Date | 09/03/2023
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Provider Practice Location Address
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Address Line | 13406 BELLEWOOD AVE
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City | SEMINOLE
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State | FL
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Zip | 33776-3024
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Country | US
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Telephone | 727-300-6578
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Fax |
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Provider Business Mailing Address
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Address Line | 13013 SEMINOLE BLVD # 1115
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City | LARGO
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State | FL
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Zip | 33778-2124
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Country | US
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Telephone | 727-300-6578
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Fax |
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Authorized Official
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Title or Position | OWNER/SPEECH LANGUAGE PATHOLOGIST
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Name | CAROLINE RUM
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Credential |
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Telephone | 727-873-8889
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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 |
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License Number State |
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