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General NPI Number Information
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NPI Number | 1780283861
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Entity Type | Organization
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Legal Business Name | PEDIATRIC SPEECH SPECIALISTS & CLINICAL MENTAL HEALTH COUNSELING OF F
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Dates
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Enumeration Date | 10/20/2020
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Last Update Date | 08/06/2025
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Provider Practice Location Address
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Address Line | 15120 MONTESINO DR
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City | ORLANDO
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State | FL
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Zip | 32828-6731
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Country | US
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Telephone | 321-304-9289
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Fax |
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Provider Business Mailing Address
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Address Line | 15120 MONTESINO DR
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City | ORLANDO
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State | FL
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Zip | 32828-6731
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Country | US
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Telephone | 321-304-9289
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | LIDIA RAQUEL ROMERO MUNOZ
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Credential | SLP
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Telephone | 321-304-9289
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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