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General NPI Number Information
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NPI Number | 1073031852
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Entity Type | Organization
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Legal Business Name | SPEAK IT UP LLC
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Dates
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Enumeration Date | 08/31/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 154 TUDOR CT
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City | LAKEWOOD
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State | NJ
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Zip | 08701-1471
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Country | US
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Telephone | 908-692-2272
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Fax |
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Provider Business Mailing Address
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Address Line | 154 TUDOR CT
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City | LAKEWOOD
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State | NJ
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Zip | 08701-1471
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Country | US
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Telephone | 908-692-2272
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | CHANA NEUSTADT
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Credential | SLP
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Telephone | 908-692-2272
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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 | NJ
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