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General NPI Number Information
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NPI Number | 1851609762
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Entity Type | Organization
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Legal Business Name | BIT BY BIT THEAPY
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Dates
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Enumeration Date | 09/14/2010
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Last Update Date | 09/14/2010
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Provider Practice Location Address
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Address Line | 1600 NE 5TH AVE
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City | POMPANO BEACH
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State | FL
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Zip | 33060-5727
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Country | US
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Telephone | 954-471-6119
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Fax |
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Provider Business Mailing Address
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Address Line | 14225 SABAL DR
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City | MIAMI LAKES
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State | FL
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Zip | 33014-2538
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Country | US
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Telephone | 954-895-6558
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Fax |
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Authorized Official
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Title or Position | SPEECH LANGUAGE PATHOLOGIST
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Name | MRS. LESLIE FERNANDEZ
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Credential | M.S. , CCC-SLP
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Telephone | 954-895-6558
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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 10491
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License Number State | FL
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