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General NPI Number Information
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NPI Number | 1730699760
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Entity Type | Organization
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Legal Business Name | LOOK WHOOS TALLKING LLC
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Dates
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Enumeration Date | 10/04/2017
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Last Update Date | 10/04/2017
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Provider Practice Location Address
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Address Line | 9560 SW 107TH AVE STE 105
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City | MIAMI
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State | FL
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Zip | 33176-2790
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Country | US
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Telephone | 727-667-7282
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Fax |
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Provider Business Mailing Address
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Address Line | 9560 SW 107TH AVE STE 105
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City | MIAMI
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State | FL
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Zip | 33176-2790
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Country | US
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Telephone | 727-667-7282
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Fax |
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Authorized Official
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Title or Position | CEO/SPEECH LANGUAGE PATHOLOGIST
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Name | MRS. CHELSEA E KNOWLES
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Credential | MS, CCC-SLP
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Telephone | 727-667-7282
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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 | SA7961
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License Number State | FL
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