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General NPI Number Information
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NPI Number | 1114791795
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Entity Type | Organization
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Legal Business Name | SPEECH LANGUAGE LEARNING
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Dates
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Enumeration Date | 11/14/2023
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Last Update Date | 01/20/2024
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Provider Practice Location Address
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Address Line | 1103 CORTELYOU RD
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City | BROOKLYN
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State | NY
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Zip | 11218-5303
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Country | US
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Telephone | 802-551-1230
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Fax |
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Provider Business Mailing Address
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Address Line | 1155 OCEAN AVE APT 3G
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City | BROOKLYN
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State | NY
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Zip | 11230-2011
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Country | US
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Telephone | 516-993-9334
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MS. AMY STREKAS
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Credential | CCC-SLP
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Telephone | 516-993-9334
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0700X
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Taxonomy Name | Hearing and Speech Clinic/Center
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License Number |
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License Number State |
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