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General NPI Number Information
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NPI Number | 1083130512
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Entity Type | Organization
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Legal Business Name | KEYPOINT, INC
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Dates
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Enumeration Date | 08/16/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 10520 66TH AVE APT 3D
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City | FOREST HILLS
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State | NY
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Zip | 11375-2105
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Country | US
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Telephone | 917-855-6919
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Fax | 718-830-3306
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Provider Business Mailing Address
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Address Line | 10520 66TH AVE APT 3D
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City | FOREST HILLS
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State | NY
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Zip | 11375-2105
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Country | US
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Telephone | 917-855-6919
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Fax | 718-830-3306
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Authorized Official
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Title or Position | SPEECH PATHOLOGIST/PRESIDENT
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Name | YANPING XIE
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Credential | SLP
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Telephone | 917-855-6919
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 009628-1
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License Number State | NY
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