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General NPI Number Information
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NPI Number | 1659827749
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Entity Type | Organization
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Legal Business Name | SPEECH BY THE BEACH CONSULTING LLC
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Dates
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Enumeration Date | 08/29/2016
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Last Update Date | 09/01/2016
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Provider Practice Location Address
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Address Line | 6017 PINE RIDGE RD SUITE 318
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City | NAPLES
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State | FL
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Zip | 34119-3956
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Country | US
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Telephone | 516-395-2359
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Fax |
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Provider Business Mailing Address
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Address Line | 6017 PINE RIDGE RD SUITE 318
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City | NAPLES
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State | FL
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Zip | 34119-3956
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Country | US
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Telephone | 516-395-2359
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | CHRISTINA FREISE
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Credential | MS, CCC-SLP, CBIS
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Telephone | 516-395-2359
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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 | SA13537
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License Number State | FL
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