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General NPI Number Information
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NPI Number | 1982481107
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Entity Type | Organization
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Legal Business Name | BILINGUAL AND BRILLIANT SPEECH THERAPY LLC
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Dates
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Enumeration Date | 09/11/2023
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Last Update Date | 09/11/2023
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Provider Practice Location Address
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Address Line | 5120 S PARKSIDE AVE
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City | CHICAGO
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State | IL
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Zip | 60638-1522
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Country | US
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Telephone | 312-731-8507
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Fax |
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Provider Business Mailing Address
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Address Line | 5120 S PARKSIDE AVE
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City | CHICAGO
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State | IL
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Zip | 60638-1522
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Country | US
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Telephone | 312-731-8507
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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 | MISS ESMERALDA V SANCHEZ
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Credential | M.A CCC-SLP/L
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Telephone | 312-731-8507
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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 |
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License Number State |
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