Basic Information
Provider Information
NPI: 1508038563
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: KAPLOUN
FirstName: LEA
MiddleName:  
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Credential: MS-CCC/SLP, M.PHIL.
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Mailing Information
Address1: PO BOX 290370
Address2:  
City: FT LAUDERDALE
State: FL
PostalCode: 333290370
CountryCode: US
TelephoneNumber: 9542624346
FaxNumber: 9542622269
Practice Location
Address1: 17350 NE 7TH AVE
Address2:  
City: NORTH MIAMI BEACH
State: FL
PostalCode: 331622038
CountryCode: US
TelephoneNumber: 7869729110
FaxNumber:  
Other Information
ProviderEnumerationDate: 03/31/2008
LastUpdateDate: 01/27/2016
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
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IsSoleProprietor: Y
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AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
235Z00000XSA 8526FLY Speech, Language and Hearing Service ProvidersSpeech-Language Pathologist 
235Z00000X008293-1NYN Speech, Language and Hearing Service ProvidersSpeech-Language Pathologist 

No ID Information.


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