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General NPI Number Information
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NPI Number | 1073258257
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Entity Type | Organization
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Legal Business Name | CELESTIAL SPEECH THERAPY
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Dates
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Enumeration Date | 05/02/2022
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Last Update Date | 05/02/2022
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Provider Practice Location Address
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Address Line | 727 E LANDIS AVE STE 3
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City | VINELAND
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State | NJ
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Zip | 08360-8001
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Country | US
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Telephone | 856-355-8834
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Fax |
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Provider Business Mailing Address
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Address Line | 727 E LANDIS AVE STE 3
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City | VINELAND
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State | NJ
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Zip | 08360-8001
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | FOUNDER
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Name | KAPENDA AURIZIO
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Credential |
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Telephone | 856-355-8834
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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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