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General NPI Number Information
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NPI Number | 1740628809
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Entity Type | Individual
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Provider Name | CHRISTINE POCHETTI
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Gender | Female
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Dates
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Enumeration Date | 06/11/2013
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Last Update Date | 02/07/2014
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Provider Practice Location Address
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Address Line | 13503 SW 104TH CT STE. E-15
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City | MIAMI
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State | FL
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Zip | 33176-6033
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Country | US
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Telephone | 305-979-9988
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Fax |
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Provider Business Mailing Address
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Address Line | 8745 NE 4TH AVENUE RD
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City | MIAMI SHORES
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State | FL
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Zip | 33138-3174
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Country | US
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Telephone | 203-994-9188
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | SA12173
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License Number State | FL
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