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General NPI Number Information
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NPI Number | 1881855138
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Entity Type | Individual
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Provider Name | LINDA MURILLO SLP
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Gender | Female
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Dates
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Enumeration Date | 06/19/2008
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Last Update Date | 01/23/2020
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Provider Practice Location Address
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Address Line | 1122 143RD ST NE
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City | BRADENTON
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State | FL
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Zip | 34212-7418
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Country | US
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Telephone | 941-356-8143
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Fax |
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Provider Business Mailing Address
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Address Line | 700 COLORADO BLVD
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City | DENVER
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State | CO
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Zip | 80206-4084
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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 | SA1709
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License Number State | FL
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