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General NPI Number Information
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NPI Number | 1922266170
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Entity Type | Organization
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Legal Business Name | SPEECH PATHOLOGY AND EDUCATIONAL CENTERINC
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Dates
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Enumeration Date | 05/23/2008
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Last Update Date | 05/17/2020
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Provider Practice Location Address
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Address Line | 8590 SW 40TH ST
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City | MIAMI
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State | FL
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Zip | 33155-3214
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Country | US
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Telephone | 305-266-5353
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Fax | 305-266-6550
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Provider Business Mailing Address
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Address Line | 8510 SW 8TH ST
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City | MIAMI
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State | FL
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Zip | 33144-4053
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Country | US
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Telephone | 305-266-5353
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | MS. MILDRED SUAREZ
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Credential | MSCCC
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Telephone | 305-266-5353
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0700X
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Taxonomy Name | Hearing and Speech Clinic/Center
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License Number | SA1502
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License Number State | FL
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