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General NPI Number Information
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NPI Number | 1649135807
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Entity Type | Organization
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Legal Business Name | SMART ARCADE LLC
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Dates
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Enumeration Date | 12/19/2025
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Last Update Date | 12/19/2025
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Provider Practice Location Address
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Address Line | 15221 MENTEITH PL
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City | MIAMI LAKES
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State | FL
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Zip | 33016-1436
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Country | US
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Telephone | 786-877-5162
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Fax |
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Provider Business Mailing Address
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Address Line | 15221 MENTEITH PL
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City | MIAMI LAKES
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State | FL
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Zip | 33016-1436
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Country | US
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Telephone | 786-877-5162
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MELANIE FOSTER
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Credential | MS, CCC-SLP
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Telephone | 786-877-5162
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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 |
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License Number State |
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