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General NPI Number Information
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NPI Number | 1801202080
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Entity Type | Organization
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Legal Business Name | OASIS SPEECH AND OCCUPATIONAL THERAPY
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Dates
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Enumeration Date | 07/08/2014
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Last Update Date | 07/08/2014
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Provider Practice Location Address
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Address Line | 2121 NW 114TH AVE
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City | PEMBROKE PINES
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State | FL
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Zip | 33026-2019
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Country | US
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Telephone | 305-742-1325
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Fax |
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Provider Business Mailing Address
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Address Line | 2121 NW 114TH AVE
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City | PEMBROKE PINES
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State | FL
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Zip | 33026-2019
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Country | US
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Telephone | 305-742-1325
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Fax |
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Authorized Official
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Title or Position | SPEECH LANGUAGE PATHOLOGIST
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Name | AMANDA SUTTA
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Credential | MS, CCC-SLP
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Telephone | 305-742-1325
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | OT 13988
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | SA 8030
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License Number State | FL
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