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General NPI Number Information
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NPI Number | 1104109420
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Entity Type | Individual
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Provider Name | KALLY PARTHENIS-ANAGNOSTOPOULOS M.S.
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Gender | Female
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Dates
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Enumeration Date | 09/22/2011
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Last Update Date | 01/24/2012
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Provider Practice Location Address
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Address Line | 2532 168TH ST
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City | FLUSHING
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State | NY
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Zip | 11358-1154
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Country | US
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Telephone | 718-939-0306
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Fax | 718-939-0306
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Provider Business Mailing Address
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Address Line | 1704 160TH ST
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City | WHITESTONE
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State | NY
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Zip | 11357-3215
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Country | US
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Telephone | 917-767-1887
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Fax | 718-939-0306
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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 | 021380
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License Number State | NY
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