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NPI 1841834660

NPI 1841834660 : ANSHELA FRANCINNE GUILLEN SLP : NORTH MIAMI, FL

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General NPI Number Information
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    NPI Number           |    1841834660
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    Entity Type          |    Individual 
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    Provider Name        |    ANSHELA FRANCINNE GUILLEN SLP
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    11/05/2019
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    Last Update Date     |    08/06/2024
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Provider Practice Location Address
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    Address Line         |    1897 NE 146TH ST 
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    City                 |    NORTH MIAMI
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    State                |    FL
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    Zip                  |    33181-1423
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    Country              |    US
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    Telephone            |    305-949-4191
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    10140 SW 15TH PL 
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    City                 |    DAVIE
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    State                |    FL
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    Zip                  |    33324-7401
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    Country              |    US
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    Telephone            |    718-873-3913
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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       |    SA22012
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    License Number State |    FL
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Taxonomy #2
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    Taxonomy Code        |    235Z00000X
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    Taxonomy Name        |    Speech-Language Pathologist
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    License Number       |    SP36540
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    License Number State |    CA
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Taxonomy #3
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    Taxonomy Code        |    235Z00000X
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    Taxonomy Name        |    Speech-Language Pathologist
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    License Number       |    SLP14888
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    License Number State |    AZ
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