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General NPI Number Information
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NPI Number | 1124779244
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Entity Type | Organization
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Legal Business Name | SUNNY DAYS PSYCHOLOGY & SPEECH LANGUAGE PATHOLOGY
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Dates
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Enumeration Date | 01/11/2022
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Last Update Date | 05/25/2022
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Provider Practice Location Address
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Address Line | 180 E END AVE STE 16
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City | NEW YORK
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State | NY
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Zip | 10128-7763
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Country | US
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Telephone | 347-956-0596
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Fax |
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Provider Business Mailing Address
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Address Line | 180 E END AVE STE 16
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City | NEW YORK
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State | NY
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Zip | 10128-7763
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Country | US
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Telephone | 347-956-0596
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | TARA MAY
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Credential | SLP
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Telephone | 347-956-0596
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103G00000X
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Taxonomy Name | Clinical Neuropsychologist
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License Number |
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License Number State |
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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 |
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License Number State |
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