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General NPI Number Information
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NPI Number | 1790193266
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Entity Type | Organization
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Legal Business Name | ACE COMMUNICATION, L.L.C
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Dates
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Enumeration Date | 07/29/2014
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Last Update Date | 07/29/2014
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Provider Practice Location Address
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Address Line | 7060 OLD ORCHARD WAY
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City | BOYNTON BEACH
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State | FL
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Zip | 33436-9432
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Country | US
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Telephone | 561-704-7172
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Fax | 561-401-5582
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Provider Business Mailing Address
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Address Line | 7060 OLD ORCHARD WAY
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City | BOYNTON BEACH
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State | FL
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Zip | 33436-9432
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Country | US
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Telephone | 561-704-7172
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Fax | 561-401-5582
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Authorized Official
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Title or Position | CEO/OWNER
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Name | MRS. NICOLE CLARK ALLEN
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Credential | M.S. CCC-SLP
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Telephone | 561-704-7172
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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 | SA5127
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License Number State | FL
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