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General NPI Number Information
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NPI Number | 1831166222
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Entity Type | Organization
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Legal Business Name | CHARLOTTE M HARVEY SPEECH PATHOLOGIST PA
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Dates
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Enumeration Date | 03/03/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 22 W LAKE BEAUTY DR STE 304
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City | ORLANDO
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State | FL
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Zip | 32806
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Country | US
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Telephone | 321-436-7638
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Fax | 407-834-0769
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Provider Business Mailing Address
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Address Line | PO BOX 521358
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City | LONGWOOD
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State | FL
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Zip | 32752-1358
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Country | US
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Telephone | 407-830-8892
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Fax | 407-834-0769
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Authorized Official
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Title or Position | OWNER PRESIDENT
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Name | DR. CHARLOTTE MARIE HARVEY
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Credential | EDD CCC SLP
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Telephone | 407-830-8892
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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 | SA2208
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License Number State | FL
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