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General NPI Number Information
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NPI Number | 1851835052
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Entity Type | Individual
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Provider Name | DEEWYE VILLANUEVA FRANKLIN MS CCC-SLP
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Gender | Female
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Dates
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Enumeration Date | 12/07/2016
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Last Update Date | 08/05/2025
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Provider Practice Location Address
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Address Line | 21760 FL-54 STE 102
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City | LUTZ
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State | FL
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Zip | 33549
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Country | US
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Telephone | 813-252-0561
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Fax |
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Provider Business Mailing Address
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Address Line | 1725 HERMITAGE BLVD
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City | TALLAHASSEE
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State | FL
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Zip | 32308-7709
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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 |
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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 | SZ7967
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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 | SA16111
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License Number State | FL
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