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General NPI Number Information
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NPI Number | 1063845337
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Entity Type | Individual
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Provider Name | ARIELLE R FOURMAN
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Gender | Female
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Dates
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Enumeration Date | 08/09/2013
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Last Update Date | 02/03/2022
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Provider Practice Location Address
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Address Line | 1940 PALMER AVE # 1017
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City | LARCHMONT
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State | NY
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Zip | 10538-2410
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Country | US
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Telephone | 631-219-6375
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Fax |
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Provider Business Mailing Address
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Address Line | 430 E 63RD ST APT 10C
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City | NEW YORK
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State | NY
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Zip | 10065-7988
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Country | US
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Telephone | 631-219-6375
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | SL012004
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 023852
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License Number State | NY
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Taxonomy #4
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 77745-SP-SL
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License Number State | MA
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