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General NPI Number Information
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NPI Number | 1669872511
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Entity Type | Organization
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Legal Business Name | JAMIE FLOOD M.S. CCC-SLP P.A
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Dates
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Enumeration Date | 08/28/2014
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Last Update Date | 08/28/2014
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Provider Practice Location Address
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Address Line | 6614 JACQUES WAY
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City | LAKE WORTH
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State | FL
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Zip | 33463-7486
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Country | US
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Telephone | 561-523-5572
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Fax | 561-964-0092
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Provider Business Mailing Address
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Address Line | 6614 JACQUES WAY
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City | LAKE WORTH
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State | FL
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Zip | 33463-7486
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Country | US
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Telephone | 561-523-5572
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Fax | 561-964-0092
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Authorized Official
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Title or Position | SPEECH LANGUAGE PATHOLOGIST
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Name | MRS. JAMIE CHRISTINE FLOOD
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Credential | M.S. CCC-SLP
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Telephone | 561-523-5572
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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 | SA8820
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License Number State | FL
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