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General NPI Number Information
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NPI Number | 1811843105
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Entity Type | Individual
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Provider Name | MIGUEL CASANOVA
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Gender | Male
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Dates
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Enumeration Date | 03/09/2026
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Last Update Date | 03/09/2026
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Provider Practice Location Address
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Address Line | 14201 W SUNRISE BLVD STE 107
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City | SUNRISE
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State | FL
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Zip | 33323-3207
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Country | US
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Telephone | 954-756-2818
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Fax |
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Provider Business Mailing Address
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Address Line | 1429 MAJESTY TER
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City | WESTON
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State | FL
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Zip | 33327-2309
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Country | US
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Telephone | 954-789-0733
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2355S0801X
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Taxonomy Name | Speech-Language Assistant
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License Number | SI6464
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License Number State | FL
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