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NPI Code Detail

MEDICARE: MR. REINFRED ADDO SLP

MEDICARE: MR. REINFRED ADDO SLP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language PathologistSA17349FL

General Provider Information

NPI Number : 1790342228
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. REINFRED ADDO SLP
Provider Business Mailing Address
First Line : 7257 NW 4TH BLVD UNIT 32
Second Line :
City : GAINESVILLE
State : FL
Zip : 32607-1600
Country : US
Telephone Number : 352-354-2514
Fax Number :
Provider Business Practice Location Address
First Line : 156 HARVEY RD
Second Line :
City : LONDONDERRY
State : NH
Zip : 03053-7449
Country : US
Telephone Number : 800-657-6517
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/21/2019
Last Update Date : 01/24/2023

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Directions to “ MR. REINFRED ADDO SLP” Practice Location

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