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General NPI Number Information
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NPI Number | 1831577147
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Entity Type | Organization
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Legal Business Name | KIDS SPEECH2GO LLC
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Dates
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Enumeration Date | 05/07/2015
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Last Update Date | 05/07/2015
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Provider Practice Location Address
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Address Line | 4848 NW 58TH MNR
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City | COCONUT CREEK
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State | FL
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Zip | 33073-2330
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Country | US
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Telephone | 954-649-7080
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Fax |
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Provider Business Mailing Address
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Address Line | 4848 NW 58TH MANOR
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City | COCONUT CREEK
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State | FL
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Zip | 33073-2230
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Country | US
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Telephone | 954-649-7080
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Fax |
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | RACHEL L STERN
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Credential |
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Telephone | 954-649-7080
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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 | SA4453
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License Number State | FL
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