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General NPI Number Information
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NPI Number | 1811127293
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Entity Type | Organization
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Legal Business Name | FERRO PEDIATRIC SLP, INC.
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Dates
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Enumeration Date | 07/20/2009
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Last Update Date | 03/26/2010
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Provider Practice Location Address
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Address Line | 4315 NW 70TH LN
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City | CORAL SPRINGS
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State | FL
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Zip | 33065-2130
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Country | US
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Telephone | 954-295-4485
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Fax |
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Provider Business Mailing Address
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Address Line | 5491 N UNIVERSITY DR SUITE 101
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City | CORAL SPRINGS
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State | FL
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Zip | 33067-4644
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Country | US
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Telephone | 954-295-4485
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MRS. MARIA MANDELION
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Credential | M.S.CCC-SLP
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Telephone | 954-295-4485
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number |
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License Number State |
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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 |
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License Number State |
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