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General NPI Number Information
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NPI Number | 1639446255
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Entity Type | Organization
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Legal Business Name | SOUTH FLORIDA SPEECH SOLUTIONS
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Dates
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Enumeration Date | 11/28/2011
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Last Update Date | 11/28/2011
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Provider Practice Location Address
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Address Line | 17034 SW 34TH ST
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City | MIRAMAR
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State | FL
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Zip | 33027-4539
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Country | US
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Telephone | 954-435-2286
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Fax |
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Provider Business Mailing Address
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Address Line | 17034 SW 34TH ST
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City | MIRAMAR
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State | FL
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Zip | 33027-4539
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Country | US
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Telephone | 954-435-2286
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Fax |
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Authorized Official
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Title or Position | OWNER/DIRECTOR
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Name | GINA N GRANDCHAMP-MILAN
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Credential | MS CCC SLP
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Telephone | 305-962-4682
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0700X
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Taxonomy Name | Hearing and Speech Clinic/Center
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License Number | SA 10083
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License Number State | FL
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