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General NPI Number Information
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NPI Number | 1124591227
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Entity Type | Individual
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Provider Name | PAULINE ANNE OLIVAR SORIANO
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Gender | Female
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Dates
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Enumeration Date | 01/10/2019
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Last Update Date | 04/29/2025
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Provider Practice Location Address
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Address Line | 300 CORPORATE BLVD S
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City | YONKERS
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State | NY
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Zip | 10701-6862
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Country | US
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Telephone | 914-294-6489
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Fax |
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Provider Business Mailing Address
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Address Line | 200 BEACON HILL DR APT 2H
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City | DOBBS FERRY
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State | NY
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Zip | 10522-2477
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Country | US
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Telephone | 808-255-5229
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Fax |
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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 | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number | RBT-19-75569
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License Number State | HI
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Taxonomy #2
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 032515
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License Number State | NY
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