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General NPI Number Information
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NPI Number | 1740906668
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Entity Type | Organization
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Legal Business Name | LANGUAGE OF LEARNING STC, LLC
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Dates
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Enumeration Date | 10/12/2022
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Last Update Date | 08/16/2024
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Provider Practice Location Address
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Address Line | 4793 N CONGRESS AVE STE 201
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City | BOYNTON BEACH
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State | FL
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Zip | 33426-7937
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Country | US
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Telephone | 561-424-6536
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Fax | 561-258-0855
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Provider Business Mailing Address
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Address Line | 4793 N CONGRESS AVE STE 201
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City | BOYNTON BEACH
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State | FL
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Zip | 33426-7937
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Country | US
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Telephone | 561-424-6536
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Fax | 561-258-0855
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Authorized Official
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Title or Position | SPEECH LANGUAGE PATHOLOGIST
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Name | EMILY A KAISER
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Credential | M.S. CCC-SLP
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Telephone | 217-638-0865
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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