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General NPI Number Information
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NPI Number | 1831436203
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Entity Type | Individual
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Provider Name | ANN-MARIE ALICE ELIA MA, CCC-SLP
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Gender | Female
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Dates
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Enumeration Date | 01/05/2013
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Last Update Date | 10/08/2025
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Provider Practice Location Address
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Address Line | 510 COUNTY RD 466 SUITE 203-L
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City | LADY LAKE
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State | FL
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Zip | 32159-4202
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Country | US
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Telephone | 352-508-7789
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Fax | 352-855-0459
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Provider Business Mailing Address
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Address Line | PO BOX 11
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City | HOWEY IN THE HILLS
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State | FL
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Zip | 34737-0011
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Country | US
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Telephone | 352-818-7368
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | SA14390
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License Number State | FL
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