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General NPI Number Information
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NPI Number | 1902692874
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Entity Type | Organization
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Legal Business Name | MIRBEN SPEECH LANGUAGE COMPANY LLC
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Dates
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Enumeration Date | 04/17/2025
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Last Update Date | 04/17/2025
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Provider Practice Location Address
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Address Line | 2309 WHISPERING MAPLE DR
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City | ORLANDO
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State | FL
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Zip | 32837-6706
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Country | US
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Telephone | 689-204-9439
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Fax | 914-455-0158
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Provider Business Mailing Address
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Address Line | 2309 WHISPERING MAPLE DR
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City | ORLANDO
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State | FL
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Zip | 32837-6706
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Country | US
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Telephone | 689-204-9439
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Fax | 914-455-0158
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Authorized Official
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Title or Position | OWNER AND MANAGING DIRECTOR
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Name | ESTHER M MIRANDA BENDEZU
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Credential | SLP
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Telephone | 689-204-9439
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 252Y00000X
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Taxonomy Name | Early Intervention Provider Agency
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License Number |
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License Number State |
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