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General NPI Number Information
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NPI Number | 1992064273
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Entity Type | Organization
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Legal Business Name | STARS CENTER FOR SPEECH THERAPY & RELATED SERVICES LLC
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Dates
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Enumeration Date | 05/08/2012
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Last Update Date | 08/09/2023
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Provider Practice Location Address
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Address Line | 12030 SW 129TH CT STE 209
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City | MIAMI
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State | FL
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Zip | 33186-4584
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Country | US
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Telephone | 786-429-3619
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Fax | 786-607-2326
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Provider Business Mailing Address
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Address Line | 12030 SW 129TH CT STE 209
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City | MIAMI
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State | FL
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Zip | 33186-4584
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Country | US
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Telephone | 786-429-3619
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Fax | 786-607-2326
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Authorized Official
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Title or Position | DIRECTOR
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Name | MS. FELICE P ABBY
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Credential | M.S., CCC-SLP
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Telephone | 786-429-3619
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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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