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General NPI Number Information
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NPI Number | 1972393759
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Entity Type | Individual
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Provider Name | RODNEY J FIALLO SLPA
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Gender | Male
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Dates
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Enumeration Date | 05/07/2025
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Last Update Date | 09/17/2025
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Provider Practice Location Address
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Address Line | 1100 NW 95TH ST
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City | MIAMI
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State | FL
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Zip | 33150-2038
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Country | US
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Telephone | 305-835-6000
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Fax |
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Provider Business Mailing Address
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Address Line | 12716 SW 224TH ST
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City | MIAMI
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State | FL
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Zip | 33170-6313
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Country | US
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Telephone | 305-900-0032
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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 | 225500000X
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Taxonomy Name | Respiratory/Developmental/Rehabilitative Specialist/Technologist
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License Number | SZ12922
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 2355S0801X
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Taxonomy Name | Speech-Language Assistant
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License Number | SI6534
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License Number State | FL
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