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General NPI Number Information
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NPI Number | 1609287903
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Entity Type | Organization
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Legal Business Name | LANGUAGE LINK THERAPY II, LLC
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Dates
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Enumeration Date | 05/08/2014
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Last Update Date | 08/10/2016
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Provider Practice Location Address
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Address Line | 7621 VENTURA LN NONE
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City | PARKLAND
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State | FL
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Zip | 33067-2302
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Country | US
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Telephone | 954-644-8898
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Fax | 877-811-2570
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Provider Business Mailing Address
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Address Line | 7621 VENTURA LN NONE
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City | PARKLAND
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State | FL
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Zip | 33067-2302
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Country | US
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Telephone | 954-644-8898
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Fax | 877-811-2570
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Authorized Official
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Title or Position | MBR
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Name | MS. ILENE R ROTMAN
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Credential | MS CCC-SLP
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Telephone | 954-644-8898
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225XP0200X
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Taxonomy Name | Pediatric Occupational Therapist
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License Number | OT11230
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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 | SA8817
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License Number State | FL
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