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General NPI Number Information
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NPI Number | 1831263482
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Entity Type | Organization
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Legal Business Name | WHOLE-SUM THERAPIES, INC.
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Dates
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Enumeration Date | 11/17/2006
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Last Update Date | 10/29/2014
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Provider Practice Location Address
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Address Line | 933 LEE RD SUITE 101
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City | ORLANDO
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State | FL
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Zip | 32810-5551
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Country | US
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Telephone | 407-730-6988
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Fax | 407-730-6995
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Provider Business Mailing Address
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Address Line | 933 LEE RD STE 101 SUITE 101
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City | ORLANDO
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State | FL
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Zip | 32810-5537
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Country | US
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Telephone | 407-730-6988
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Fax | 407-730-6995
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Authorized Official
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Title or Position | OWNER
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Name | MRS. PATTY SMITH
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Credential |
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Telephone | 407-730-6988
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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 | SA 406
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License Number State | FL
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