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General NPI Number Information
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NPI Number | 1770828022
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Entity Type | Individual
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Provider Name | DANILDA LAVANDIER OSUNFISAN MS CCC-SLP
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Gender | Female
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Dates
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Enumeration Date | 11/27/2012
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Last Update Date | 09/25/2025
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Provider Practice Location Address
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Address Line | 107 E 3RD AVE
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City | FRANKLIN
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State | VA
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Zip | 23851-1719
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Country | US
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Telephone | 757-776-3088
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Fax | 757-612-4499
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Provider Business Mailing Address
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Address Line | 4500 N STATE ROAD 7 STE 214
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City | LAUDERDALE LAKES
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State | FL
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Zip | 33319-5882
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Country | US
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Telephone | 954-557-6632
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | SA15837
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 2202010441
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License Number State | VA
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Taxonomy #3
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 2011018661
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License Number State | MO
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