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General NPI Number Information
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NPI Number | 1972466522
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Entity Type | Organization
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Legal Business Name | CELELRA INC
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Dates
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Enumeration Date | 12/09/2025
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Last Update Date | 12/09/2025
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Provider Practice Location Address
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Address Line | 1819 WEST AVE UNIT 5
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City | MIAMI BEACH
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State | FL
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Zip | 33139-1440
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Country | US
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Telephone | 701-381-2732
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Fax |
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Provider Business Mailing Address
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Address Line | 1819 WEST AVE UNIT 5
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City | MIAMI BEACH
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State | FL
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Zip | 33139-1440
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Country | US
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Telephone | 701-381-2732
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Fax |
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Authorized Official
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Title or Position | CO FOUNDER
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Name | DR. MATTHEW RUSILKO
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Credential | DO
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Telephone | 702-381-2732
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA3000X
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Taxonomy Name | Augmentative Communication Clinic/Center
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License Number |
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License Number State |
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