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NPI 1922440072

NPI 1922440072 : ADVANCED SPEECH & REHAB SERVICES, LLC : CLERMONT, FL

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General NPI Number Information
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    NPI Number           |    1922440072
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    Entity Type          |    Organization 
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    Legal Business Name  |    ADVANCED SPEECH & REHAB SERVICES, LLC 
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Dates
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    Enumeration Date     |    07/17/2013
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    Last Update Date     |    04/29/2021
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Provider Practice Location Address
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    Address Line         |    1218 SHORECREST CIR 
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    City                 |    CLERMONT
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    State                |    FL
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    Zip                  |    34711-2942
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    Country              |    US
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    Telephone            |    407-732-8136
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    Fax                  |    407-540-9405
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Provider Business Mailing Address
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    Address Line         |    1218 SHORECREST CIR 
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    City                 |    CLERMONT
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    State                |    FL
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    Zip                  |    34711-2942
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    Country              |    US
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    Telephone            |    407-732-8136
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    Fax                  |    407-540-9405
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     FRANCES  TODDY 
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    Credential           |    
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    Telephone            |    407-732-8136
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    224Z00000X
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    Taxonomy Name        |    Occupational Therapy Assistant
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    225100000X
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    Taxonomy Name        |    Physical Therapist
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    License Number       |    
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    License Number State |    
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Taxonomy #3
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    Taxonomy Code        |    225200000X
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    Taxonomy Name        |    Physical Therapy Assistant
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    License Number       |    
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    License Number State |    
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Taxonomy #4
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    Taxonomy Code        |    225X00000X
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    Taxonomy Name        |    Occupational Therapist
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    License Number       |    
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    License Number State |    
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Taxonomy #5
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    Taxonomy Code        |    2355S0801X
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    Taxonomy Name        |    Speech-Language Assistant
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    License Number       |    
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    License Number State |    
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Taxonomy #6
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    Taxonomy Code        |    235Z00000X
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    Taxonomy Name        |    Speech-Language Pathologist
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    License Number       |    
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    License Number State |    
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