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General NPI Number Information
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NPI Number | 1750648721
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Entity Type | Organization
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Legal Business Name | WEE ACHIEVE THERAPY INC
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Dates
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Enumeration Date | 04/16/2012
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Last Update Date | 06/29/2022
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Provider Practice Location Address
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Address Line | 12910 98TH AVENUE N.
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City | SEMINOLE
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State | FL
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Zip | 33776
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Country | US
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Telephone | 727-643-6148
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Fax | 727-954-3260
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Provider Business Mailing Address
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Address Line | 12910 98TH AVENUE N.
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City | SEMINOLE
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State | FL
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Zip | 33776
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Country | US
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Telephone | 727-643-6148
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Fax | 727-954-3260
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Authorized Official
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Title or Position | SPEECH LANGUAGE PATHOLOGIST/OWNER P
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Name | MS. KRISTIN MARIE SMITH
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Credential | M.S., CCC,SLP
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Telephone | 727-643-6148
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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 | SA5814
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License Number State |
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