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General NPI Number Information
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NPI Number | 1760150536
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Entity Type | Organization
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Legal Business Name | LOGOS THERAPY GROUP LLC
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Dates
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Enumeration Date | 09/05/2021
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Last Update Date | 08/16/2023
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Provider Practice Location Address
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Address Line | 8950 SW 152ND ST STE 107
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City | PALMETTO BAY
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State | FL
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Zip | 33157-1901
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Country | US
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Telephone | 786-281-3928
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Fax | 833-672-2767
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Provider Business Mailing Address
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Address Line | 8950 SW 152ND ST STE 107
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City | PALMETTO BAY
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State | FL
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Zip | 33157-1901
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Country | US
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Telephone | 786-281-3928
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Fax | 833-672-2767
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Authorized Official
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Title or Position | OWNER/MANAGER
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Name | MARIA ELENA MUNOZ
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Credential | MS, CCC-SLP
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Telephone | 786-281-3928
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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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