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General NPI Number Information
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NPI Number | 1740172584
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Entity Type | Organization
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Legal Business Name | SPEECH AND LANGUAGE PATHOLOGY GROUP, INC.
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Dates
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Enumeration Date | 07/16/2025
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Last Update Date | 07/16/2025
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Provider Practice Location Address
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Address Line | 9830 SW 77TH AVE STE 110
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City | MIAMI
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State | FL
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Zip | 33156-2697
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Country | US
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Telephone | 305-274-9966
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Fax |
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Provider Business Mailing Address
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Address Line | 9830 SW 77TH AVE STE 110
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City | MIAMI
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State | FL
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Zip | 33156-2697
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Country | US
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Telephone | 305-274-9966
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Fax |
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Authorized Official
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Title or Position | CLINICAL DIRECTOR
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Name | DR. BARBARA ROCA
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Credential | ED.D
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Telephone | 305-274-9966
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0700X
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Taxonomy Name | Hearing and Speech Clinic/Center
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License Number |
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License Number State |
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