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General NPI Number Information
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NPI Number | 1104053297
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Entity Type | Organization
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Legal Business Name | LINDA M. HIRSCH MS SLP PC
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Dates
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Enumeration Date | 06/16/2009
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Last Update Date | 06/16/2009
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Provider Practice Location Address
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Address Line | 7 NOEL LN
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City | JERICHO
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State | NY
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Zip | 11753-1311
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Country | US
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Telephone | 516-827-1970
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Fax | 516-827-0035
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Provider Business Mailing Address
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Address Line | 7 NOEL LN
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City | JERICHO
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State | NY
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Zip | 11753-1311
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Country | US
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Telephone | 516-827-1970
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Fax | 516-827-0035
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Authorized Official
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Title or Position | DIRECTOR
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Name | MRS. LINDA M. HIRSCH
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Credential | MS SLP/A
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Telephone | 516-827-1970
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 252Y00000X
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Taxonomy Name | Early Intervention Provider Agency
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License Number | 000198-1
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 252Y00000X
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Taxonomy Name | Early Intervention Provider Agency
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License Number | 004523-1
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License Number State | NY
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