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General NPI Number Information
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NPI Number | 1851833479
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Entity Type | Organization
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Legal Business Name | TLC THERAPY & ASSOCIATES
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Dates
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Enumeration Date | 11/14/2016
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Last Update Date | 11/14/2016
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Provider Practice Location Address
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Address Line | 19380 COLLINS AVE 1421
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City | SUNNY ISLES BEACH
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State | FL
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Zip | 33160-2239
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Country | US
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Telephone | 786-340-7933
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Fax |
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Provider Business Mailing Address
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Address Line | 19380 COLLINS AVE 1421
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City | SUNNY ISLES BEACH
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State | FL
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Zip | 33160-2239
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Country | US
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Telephone |
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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 | MARGARITA GILKIS
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Credential | MS CCC-SLP
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Telephone | 786-340-7933
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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 11888
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License Number State | FL
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