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General NPI Number Information
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NPI Number | 1609731041
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Entity Type | Organization
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Legal Business Name | MARIA DRESERIS SLP LLC
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Dates
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Enumeration Date | 12/18/2025
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Last Update Date | 12/18/2025
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Provider Practice Location Address
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Address Line | 3940 NW 59TH AVE
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City | VIRGINIA GARDENS
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State | FL
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Zip | 33166-5740
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Country | US
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Telephone | 786-514-2345
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Fax |
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Provider Business Mailing Address
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Address Line | 3940 NW 59TH AVE
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City | VIRGINIA GARDENS
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State | FL
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Zip | 33166-5740
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | SPEECH LANGUAGE PATHOLOGIST
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Name | MARIA. DRESERIS
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Credential | M.S., CCC-SLP
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Telephone | 786-514-2345
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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 |
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License Number State |
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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 |
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License Number State |
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