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General NPI Number Information
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NPI Number | 1720441363
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Entity Type | Organization
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Legal Business Name | ALTERNATIVE THERAPY INC.
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Dates
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Enumeration Date | 03/31/2016
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Last Update Date | 03/31/2016
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Provider Practice Location Address
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Address Line | 510 20TH AVE NE
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City | NAPLES
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State | FL
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Zip | 34120-2539
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Country | US
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Telephone | 786-319-2384
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Fax | 239-304-8562
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Provider Business Mailing Address
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Address Line | 510 20TH AVE NE
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City | NAPLES
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State | FL
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Zip | 34120-2539
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Country | US
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Telephone | 786-319-2384
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Fax | 239-304-8562
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Authorized Official
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Title or Position | PRESIDENT
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Name | MIRNA GARCIA
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Credential | MS,SLP
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Telephone | 786-319-2384
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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 | SA 14033
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License Number State | FL
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