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General NPI Number Information
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NPI Number | 1942402805
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Entity Type | Individual
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Provider Name | ELIZABETH BARRIOS
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Gender | Female
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Dates
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Enumeration Date | 06/04/2007
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Last Update Date | 09/20/2022
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Provider Practice Location Address
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Address Line | 2678 SW ACCO RD
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City | PORT ST LUCIE
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State | FL
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Zip | 34953-2813
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Country | US
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Telephone | 772-621-0061
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Fax |
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Provider Business Mailing Address
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Address Line | 1775 SW PORTA NUOVA TER
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City | PORT ST LUCIE
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State | FL
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Zip | 34953-4666
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Country | US
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Telephone | 772-672-0897
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 222Q00000X
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Taxonomy Name | Developmental Therapist
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License Number |
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 2355S0801X
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Taxonomy Name | Speech-Language Assistant
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License Number | SI 1049
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | SZ 7812
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License Number State | FL
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