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General NPI Number Information
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NPI Number | 1821877523
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Entity Type | Organization
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Legal Business Name | PEDIATRIC SPEECH-LANGUAGE PATHOLOGY, LLC
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Dates
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Enumeration Date | 09/22/2023
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Last Update Date | 10/20/2025
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Provider Practice Location Address
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Address Line | 4793 N CONGRESS AVE
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City | BOYNTON BEACH
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State | FL
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Zip | 33426-7937
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Country | US
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Telephone | 561-424-6536
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Fax |
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Provider Business Mailing Address
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Address Line | 4793 N CONGRESS AVE
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City | BOYNTON BEACH
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State | FL
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Zip | 33426-7937
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Country | US
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Telephone | 561-424-6536
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Fax |
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Authorized Official
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Title or Position | AMBR
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Name | ABBY MACDOWELL
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Credential |
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Telephone | 561-424-6536
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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 |
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License Number State |
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