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General NPI Number Information
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NPI Number | 1730456252
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Entity Type | Organization
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Legal Business Name | SPEECH LANGUAGE & MORE, INC.
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Dates
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Enumeration Date | 11/29/2011
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Last Update Date | 11/29/2011
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Provider Practice Location Address
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Address Line | 10244 NW 33RD PL
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City | SUNRISE
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State | FL
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Zip | 33351-6948
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Country | US
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Telephone | 954-665-6717
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Fax | 954-916-7400
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Provider Business Mailing Address
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Address Line | 10244 NW 33RD PL
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City | SUNRISE
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State | FL
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Zip | 33351-6948
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Country | US
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Telephone | 954-665-6717
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Fax | 954-916-7400
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Authorized Official
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Title or Position | CLINICAL DIRECTOR
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Name | MRS. SADIA A PALMER
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Credential |
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Telephone | 954-665-6717
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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 8468
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License Number State | FL
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