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General NPI Number Information
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NPI Number | 1750756904
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Entity Type | Organization
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Legal Business Name | ELOQUENT SPEECH AND LANGUAGE THERAPY, LLC
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Dates
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Enumeration Date | 12/13/2015
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Last Update Date | 12/13/2015
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Provider Practice Location Address
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Address Line | 2855 APALACHEE PKWY APT. 181D
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City | TALLAHASSEE
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State | FL
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Zip | 32301-3681
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Country | US
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Telephone | 954-332-8429
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Fax |
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Provider Business Mailing Address
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Address Line | 2855 APALACHEE PKWY APT. 181D
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City | TALLAHASSEE
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State | FL
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Zip | 32301-3681
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Country | US
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Telephone | 954-332-8429
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Fax |
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Authorized Official
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Title or Position | SPEECH-LANGUAGE PATHOLOGIST
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Name | MRS. ASIA HUTCHINS
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Credential | M.S.
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Telephone | 954-332-8429
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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 | SZ 6169
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License Number State | FL
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