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General NPI Number Information
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NPI Number | 1962183640
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Entity Type | Individual
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Provider Name | CHLOE CAREAGA
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Gender | Female
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Dates
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Enumeration Date | 07/26/2023
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Last Update Date | 07/26/2023
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Provider Practice Location Address
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Address Line | 45 NW 8TH ST STE 104
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City | HOMESTEAD
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State | FL
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Zip | 33030-4452
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Country | US
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Telephone | 954-804-9367
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Fax |
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Provider Business Mailing Address
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Address Line | 5420 SW 130TH AVE
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City | MIAMI
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State | FL
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Zip | 33175-6247
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Country | US
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Telephone | 786-606-8058
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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 | 2355S0801X
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Taxonomy Name | Speech-Language Assistant
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License Number | SI5968
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License Number State | FL
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