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General NPI Number Information
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NPI Number | 1629189329
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Entity Type | Organization
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Legal Business Name | ABC THERAPIES OF FLORIDA, INC.
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Dates
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Enumeration Date | 08/31/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 421 WOODCREST ST
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City | WINTER SPRINGS
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State | FL
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Zip | 32708-6199
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Country | US
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Telephone | 407-340-2718
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Fax | 407-327-9164
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Provider Business Mailing Address
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Address Line | PO BOX 195428
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City | WINTER SPRINGS
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State | FL
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Zip | 32719-5428
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Country | US
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Telephone | 407-340-2718
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Fax | 407-327-9164
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Authorized Official
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Title or Position | OWNER/SPEECH LANGUAGE PATHOLOGIST
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Name | MRS. CHERYL ELIZABETH TOWNSEND
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Credential | M.A. CCC-SLP
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Telephone | 407-340-2718
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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 | SA7884
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License Number State | FL
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