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General NPI Number Information
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NPI Number | 1134798416
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Entity Type | Individual
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Provider Name | MARY TESS SBARRA CCC-SLP, HIS
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Gender | Female
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Dates
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Enumeration Date | 06/22/2021
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Last Update Date | 02/13/2026
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Provider Practice Location Address
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Address Line | 231 MAIN ST
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City | VESTAL
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State | NY
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Zip | 13850-1548
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Country | US
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Telephone | 607-205-1041
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Fax |
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Provider Business Mailing Address
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Address Line | 30 CAROL CT
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City | ENDICOTT
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State | NY
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Zip | 13760-1574
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Country | US
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Telephone |
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 029701-01
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 237700000X
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Taxonomy Name | Hearing Instrument Specialist
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License Number | 14000081904
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License Number State | NY
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