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General NPI Number Information
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NPI Number | 1962518092
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Entity Type | Organization
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Legal Business Name | NOVEMBER & ASSOCIATES SPEECH-LANGUAGE & DEVELOPMENTAL CENTER, INC.
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Dates
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Enumeration Date | 08/22/2006
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Last Update Date | 01/11/2016
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Provider Practice Location Address
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Address Line | 1948 SE PORT ST LUCIE BLVD
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City | PORT ST LUCIE
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State | FL
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Zip | 34952-5510
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Country | US
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Telephone | 772-342-1435
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Fax | 855-437-5783
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Provider Business Mailing Address
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Address Line | 441 SE VERADA AVE
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City | PORT ST LUCIE
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State | FL
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Zip | 34983-2242
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Country | US
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Telephone | 772-342-1435
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Fax | 855-437-5783
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Authorized Official
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Title or Position | PRESIDENT
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Name | ROSEMARIE NOVEMBER
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Credential | M.A., CCC-SLP
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Telephone | 772-342-1435
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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 | SA618
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License Number State | FL
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