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General NPI Number Information
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NPI Number | 1952568891
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Entity Type | Organization
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Legal Business Name | DEVELOPMENTAL THERAPY CONSULTANTS, LLC
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Dates
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Enumeration Date | 05/19/2008
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Last Update Date | 05/19/2008
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Provider Practice Location Address
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Address Line | 219 BROOKGREEN WAY
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City | DELAND
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State | FL
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Zip | 32724-8818
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Country | US
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Telephone | 407-310-8213
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Fax |
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Provider Business Mailing Address
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Address Line | 219 BROOKGREEN WAY
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City | DELAND
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State | FL
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Zip | 32724-8818
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Country | US
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Telephone | 407-310-8213
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Fax |
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Authorized Official
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Title or Position | SPEECH-LANGUAGE PATHOLOGIST/OWNER
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Name | MRS. ASHLEY DENSLOW WHITAKER
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Credential | MA, CCC-SLP
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Telephone | 407-310-8213
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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 | SA7145
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License Number State | FL
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