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General NPI Number Information
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NPI Number | 1912068362
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Entity Type | Organization
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Legal Business Name | CHILDREN'S SPEECH CENTER, INC.
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Dates
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Enumeration Date | 12/12/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 11010 SW 88TH ST SUITE 102
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City | MIAMI
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State | FL
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Zip | 33176-1216
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Country | US
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Telephone | 305-279-8070
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Fax | 305-279-0828
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Provider Business Mailing Address
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Address Line | 11010 SW 88TH ST SUITE 102
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City | MIAMI
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State | FL
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Zip | 33176-1216
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Country | US
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Telephone | 305-279-8070
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Fax | 305-279-0828
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Authorized Official
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Title or Position | PRESIDENT
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Name | VICTORIA GUZMAN
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Credential | M.S. CCC-SLP
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Telephone | 305-279-8070
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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 2936
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License Number State | FL
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