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General NPI Number Information
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NPI Number | 1649780065
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Entity Type | Organization
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Legal Business Name | SLP IN MOTION LLC
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Dates
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Enumeration Date | 10/11/2017
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Last Update Date | 08/13/2019
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Provider Practice Location Address
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Address Line | 162 NE 25TH ST APT 813
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City | MIAMI
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State | FL
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Zip | 33137-5077
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Country | US
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Telephone | 305-467-7686
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Fax |
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Provider Business Mailing Address
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Address Line | 162 NE 25TH ST APT 813
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City | MIAMI
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State | FL
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Zip | 33137-5077
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Country | US
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Telephone | 305-467-7686
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MARISOL FERRISS
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Credential |
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Telephone | 305-467-7686
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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 | SA11611
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License Number State | FL
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