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General NPI Number Information
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NPI Number | 1023605573
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Entity Type | Organization
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Legal Business Name | ALL IN 1 SPOT WITH THERATALK SLP, PT, OT, PSYCHOLOGY PLLC
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Dates
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Enumeration Date | 12/30/2020
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Last Update Date | 12/30/2020
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Provider Practice Location Address
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Address Line | 15050 14TH RD
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City | WHITESTONE
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State | NY
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Zip | 11357-2609
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Country | US
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Telephone | 718-767-0091
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Fax |
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Provider Business Mailing Address
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Address Line | 15050 14TH RD
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City | WHITESTONE
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State | NY
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Zip | 11357-2609
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Country | US
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Telephone | 718-767-0091
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | IRENE CHRISTOFOROU-GIOULES
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Credential |
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Telephone | 718-767-0091
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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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