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General NPI Number Information
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NPI Number | 1740937242
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Entity Type | Organization
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Legal Business Name | JS BILINGUAL SPEECH THERAPY CENTER CORP
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Dates
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Enumeration Date | 03/04/2022
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Last Update Date | 03/04/2022
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Provider Practice Location Address
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Address Line | 16431 BLATT BLVD APT 104
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City | WESTON
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State | FL
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Zip | 33326-1841
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Country | US
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Telephone | 754-837-1909
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Fax |
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Provider Business Mailing Address
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Address Line | 16431 BLATT BLVD APT 104
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City | WESTON
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State | FL
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Zip | 33326-1841
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Country | US
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Telephone | 754-837-1909
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Fax |
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Authorized Official
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Title or Position | SPEECH THERAPY ASSISTANT
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Name | MS. DESVY GONZALEZ
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Credential |
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Telephone | 754-837-1909
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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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