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General NPI Number Information
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NPI Number | 1790117240
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Entity Type | Organization
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Legal Business Name | AMAZING SPEECH LLC
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Dates
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Enumeration Date | 08/07/2013
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Last Update Date | 09/22/2025
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Provider Practice Location Address
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Address Line | 10900 NW 25TH ST STE 106
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City | SWEETWATER
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State | FL
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Zip | 33172-1922
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Country | US
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Telephone | 786-571-7079
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Fax | 786-364-0996
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Provider Business Mailing Address
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Address Line | 14286 SW 122ND CT
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City | MIAMI
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State | FL
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Zip | 33186-6028
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Country | US
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Telephone | 786-423-2423
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Fax | 786-364-0996
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Authorized Official
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Title or Position | SPEECH LANGUAGE PATHOLOGIST
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Name | MRS. ANALIA FERNANDA MARINO
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Credential | DR. CCC-SLP
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Telephone | 786-423-2423
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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 | SA11848
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License Number State | FL
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