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General NPI Number Information
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NPI Number | 1649784927
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Entity Type | Individual
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Provider Name | MARIA ANTONIA MORALES
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Gender | Female
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Dates
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Enumeration Date | 11/25/2017
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Last Update Date | 11/25/2017
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Provider Practice Location Address
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Address Line | 33 N KROME AVE
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City | HOMESTEAD
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State | FL
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Zip | 33030-6014
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Country | US
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Telephone | 786-601-2042
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Fax |
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Provider Business Mailing Address
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Address Line | 15460 SW 284TH ST
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City | HOMESTEAD
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State | FL
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Zip | 33033-1406
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Country | US
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Telephone | 786-650-8918
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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 |
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License Number State |
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