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General NPI Number Information
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NPI Number | 1942998943
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Entity Type | Organization
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Legal Business Name | AMELIA THERAPY SERVICES, INC
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Dates
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Enumeration Date | 04/27/2023
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Last Update Date | 04/27/2023
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Provider Practice Location Address
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Address Line | 910 S 8TH ST STE 131
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City | FERNANDINA BEACH
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State | FL
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Zip | 32034-6700
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Country | US
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Telephone | 561-537-0963
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Fax |
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Provider Business Mailing Address
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Address Line | 85332 CHERRY CREEK DR
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City | FERNANDINA BEACH
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State | FL
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Zip | 32034-3780
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Country | US
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Telephone | 561-537-0963
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | HEATHER L PETERS
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Credential | MS CCC-SLP
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Telephone | 561-537-0963
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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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