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General NPI Number Information
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NPI Number | 1730090267
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Entity Type | Individual
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Provider Name | DESYREE AVILES
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Gender | Female
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Dates
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Enumeration Date | 09/14/2026
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Last Update Date | 09/14/2026
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Provider Practice Location Address
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Address Line | 6740 SW 132ND ST
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City | PINECREST
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State | FL
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Zip | 33156-6926
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Country | US
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Telephone | 305-431-8358
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Fax | 786-646-6115
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Provider Business Mailing Address
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Address Line | 10240 REFLECTIONS BLVD APT 201
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City | SUNRISE
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State | FL
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Zip | 33351-8313
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Country | US
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Telephone | 813-808-3425
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2355S0801X
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Taxonomy Name | Speech-Language Assistant
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License Number | SI6990
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License Number State | FL
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