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General NPI Number Information
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NPI Number | 1952515355
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Entity Type | Individual
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Provider Name | SUSANA B AUDI
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Gender | Female
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Dates
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Enumeration Date | 05/09/2007
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Last Update Date | 12/08/2025
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Provider Practice Location Address
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Address Line | 1225 S MILITARY TRL STE D
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City | WEST PALM BEACH
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State | FL
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Zip | 33415-4698
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Country | US
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Telephone | 561-328-8312
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Fax | 561-584-5033
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Provider Business Mailing Address
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Address Line | 5884 WHIPPOORWILL CIR
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City | LOXAHATCHEE
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State | FL
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Zip | 33470-6509
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Country | US
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Telephone | 561-201-7917
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Fax | 561-584-5033
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | SA12824
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License Number State | FL
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