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General NPI Number Information
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NPI Number | 1972090157
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Entity Type | Organization
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Legal Business Name | LISTENNOW HEARING & SPEECH, LLC
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Dates
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Enumeration Date | 04/13/2018
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Last Update Date | 04/13/2018
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Provider Practice Location Address
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Address Line | 4626 26TH ST W
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City | BRADENTON
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State | FL
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Zip | 34207-1701
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Country | US
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Telephone | 941-232-1290
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Fax |
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Provider Business Mailing Address
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Address Line | 7282 55TH AVE E STE 214
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City | BRADENTON
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State | FL
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Zip | 34203-8002
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Country | US
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Telephone | 941-232-1290
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Fax |
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Authorized Official
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Title or Position | SPEECH-LANGUAGE PATHOLOGIST
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Name | CATHERINE E RECKORD
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Credential |
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Telephone | 941-232-1290
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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 | SA7827
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License Number State | FL
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