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General NPI Number Information
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NPI Number | 1023636206
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Entity Type | Individual
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Provider Name | TAMARA J HUTH-GARGIULO MS CCC-SLP
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Gender | Female
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Dates
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Enumeration Date | 07/14/2020
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Last Update Date | 07/14/2020
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Provider Practice Location Address
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Address Line | 31 CHESTNUT ST
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City | ROCHELLE PARK
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State | NJ
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Zip | 07662-3701
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Country | US
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Telephone | 201-478-3534
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Fax |
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Provider Business Mailing Address
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Address Line | 31 CHESTNUT ST
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City | ROCHELLE PARK
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State | NJ
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Zip | 07662-3701
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Country | US
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Telephone | 201-478-3534
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 41YS00367100
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License Number State | NJ
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