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General NPI Number Information
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NPI Number | 1144639774
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Entity Type | Organization
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Legal Business Name | NOSO HOME REHABILITATION OT PT SLP, PLLC
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Dates
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Enumeration Date | 08/07/2014
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Last Update Date | 08/07/2014
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Provider Practice Location Address
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Address Line | 700-3 UNION PARKWAY
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City | RONKONKOMA
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State | NY
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Zip | 11779-7427
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Country | US
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Telephone | 631-676-4185
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Fax |
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Provider Business Mailing Address
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Address Line | 700-3 UNION PARKWAY
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City | RONKONKOMA
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State | NY
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Zip | 11779-7427
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Country | US
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Telephone | 631-676-4185
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Fax |
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Authorized Official
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Title or Position | MEMBER
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Name | ELIZABETH CATHERINE SCHNABEL
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Credential | M.S. CCC-SLP
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Telephone | 631-275-1411
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 020899-1
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License Number State | NY
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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 | 018049-1
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 017178-1
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License Number State | NY
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