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General NPI Number Information
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NPI Number | 1942154505
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Entity Type | Organization
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Legal Business Name | THERABLU CARE LLC
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Dates
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Enumeration Date | 02/23/2026
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Last Update Date | 02/23/2026
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Provider Practice Location Address
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Address Line | 2821 NW 110TH TER
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City | SUNRISE
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State | FL
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Zip | 33322-1853
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Country | US
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Telephone | 305-209-3535
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 450136
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City | SUNRISE
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State | FL
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Zip | 33345-0136
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Country | US
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Telephone | 305-209-3535
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | JENNIFER CALVIN
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Credential | M.S. CCC-SLP
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Telephone | 305-902-8296
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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 |
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License Number State |
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