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General NPI Number Information
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NPI Number | 1720991904
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Entity Type | Organization
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Legal Business Name | PEDIATRIC SPEECH SOLUTIONS LLC
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Dates
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Enumeration Date | 09/28/2026
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Last Update Date | 09/28/2026
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Provider Practice Location Address
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Address Line | 1353 NE WHITE PINE TER
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City | OCEAN BREEZE
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State | FL
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Zip | 34957-5786
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Country | US
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Telephone | 407-489-1087
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Fax |
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Provider Business Mailing Address
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Address Line | 1353 NE WHITE PINE TER
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City | OCEAN BREEZE
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State | FL
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Zip | 34957-5786
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Country | US
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Telephone | 407-489-1087
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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 | MELISSA KELLY
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Credential | MA,CCC-SLP
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Telephone | 407-489-1087
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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 | NULL
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