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General NPI Number Information
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NPI Number | 1609903202
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Entity Type | Individual
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Provider Name | NIDIA CORREA RIAL MA, CCC-SLP
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Gender | Female
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Dates
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Enumeration Date | 02/28/2007
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Last Update Date | 07/02/2008
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Provider Practice Location Address
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Address Line | 782 NW LE JEUNE RD #334
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City | MIAMI
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State | FL
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Zip | 33126-5541
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Country | US
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Telephone | 305-878-3898
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Fax |
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Provider Business Mailing Address
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Address Line | 333 SW 133RD PL
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City | MIAMI
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State | FL
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Zip | 33184-1132
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Country | US
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Telephone | 305-878-3898
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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 | SA7844
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License Number State | FL
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