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NPI 1619179645

NPI 1619179645 : CATHERINE STYS : MELBOURNE, FL

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General NPI Number Information
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    NPI Number           |    1619179645
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    Entity Type          |    Individual 
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    Provider Name        |    CATHERINE STYS
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    06/01/2007
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    Last Update Date     |    06/27/2025
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Provider Practice Location Address
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    Address Line         |    3150 N WICKHAM RD STE 3 
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    City                 |    MELBOURNE
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    State                |    FL
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    Zip                  |    32935-2322
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    Country              |    US
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    Telephone            |    321-536-0441
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    2563 SYKES CREEK DR 
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    City                 |    MERRITT ISLAND
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    State                |    FL
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    Zip                  |    32953-2916
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    Country              |    US
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    Telephone            |    321-536-0441
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    Fax                  |    321-504-0955
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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       |    SA5486
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    License Number State |    FL
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