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General NPI Number Information
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NPI Number | 1982117081
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Entity Type | Organization
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Legal Business Name | LETS SPEAK - HABLEMOS
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Dates
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Enumeration Date | 11/10/2017
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Last Update Date | 11/10/2017
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Provider Practice Location Address
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Address Line | 3240 MELTON ST N
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City | SAINT PETERSBURG
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State | FL
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Zip | 33704-1815
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Country | US
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Telephone | 919-591-1121
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Fax |
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Provider Business Mailing Address
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Address Line | 3240 MELTON ST N
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City | SAINT PETERSBURG
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State | FL
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Zip | 33704-1815
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Country | US
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Telephone | 919-591-1121
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Fax |
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Authorized Official
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Title or Position | CFO
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Name | MR. JAMES ANDREW GARNER
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Credential |
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Telephone | 919-591-1121
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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 | 15608
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License Number State | FL
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