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General NPI Number Information
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NPI Number | 1760962799
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Entity Type | Organization
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Legal Business Name | READY, SET, GROW PEDIATRIC THERAPIES, PLLC
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Dates
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Enumeration Date | 08/20/2018
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Last Update Date | 08/20/2018
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Provider Practice Location Address
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Address Line | 320 S FLAMINGO RD # 251
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City | PEMBROKE PINES
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State | FL
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Zip | 33027-1770
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Country | US
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Telephone | 954-240-2994
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Fax |
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Provider Business Mailing Address
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Address Line | 320 S FLAMINGO RD # 251
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City | PEMBROKE PINES
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State | FL
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Zip | 33027-1770
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Country | US
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Telephone | 954-240-2994
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Fax |
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Authorized Official
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Title or Position | OWNER/SPEECH LANGUAGE PATHOLOGIST
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Name | KATHRYN TAYLOR
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Credential | CCC-SLP
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Telephone | 954-240-2994
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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 | SA12559
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License Number State | FL
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