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General NPI Number Information
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NPI Number | 1659889111
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Entity Type | Organization
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Legal Business Name | BILINGUAL KEY THERAPY, INC
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Dates
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Enumeration Date | 01/18/2018
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Last Update Date | 09/20/2022
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Provider Practice Location Address
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Address Line | 1631 NW SAINT LUCIE WEST BLVD STE 208
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City | PORT ST LUCIE
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State | FL
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Zip | 34986-1963
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Country | US
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Telephone | 772-672-0897
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Fax |
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Provider Business Mailing Address
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Address Line | 2678 SW ACCO RD
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City | PORT ST LUCIE
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State | FL
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Zip | 34953-2813
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Country | US
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Telephone | 772-621-0061
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Fax |
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Authorized Official
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Title or Position | SPEECH LANGUAGE PATHOLOGIST
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Name | ELIZABETH BARRIOS
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Credential | MS CCC SLP
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Telephone | 772-672-0897
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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 | SA15831
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License Number State | FL
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