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General NPI Number Information
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NPI Number | 1619791555
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Entity Type | Individual
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Provider Name | CLAUDIA YASMEEN BARE
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Gender | Female
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Dates
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Enumeration Date | 11/07/2024
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Last Update Date | 11/07/2024
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Provider Practice Location Address
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Address Line | 3141 SW 118TH TER
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City | DAVIE
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State | FL
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Zip | 33330-1600
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Country | US
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Telephone | 754-779-7888
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Fax |
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Provider Business Mailing Address
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Address Line | 817 SE 2ND AVE APT 717
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City | FORT LAUDERDALE
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State | FL
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Zip | 33316-1068
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Country | US
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Telephone | 980-330-2800
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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 | SZ12000
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License Number State | FL
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