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General NPI Number Information
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NPI Number | 1154857266
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Entity Type | Organization
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Legal Business Name | RAJEEV PUTTASWAMY SPEECH SERVICES, PLLC
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Dates
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Enumeration Date | 05/10/2017
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Last Update Date | 05/10/2017
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Provider Practice Location Address
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Address Line | 50 DOGWOOD DR
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City | MIDDLETOWN
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State | NY
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Zip | 10940-1802
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Country | US
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Telephone | 845-645-1253
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Fax |
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Provider Business Mailing Address
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Address Line | 50 DOGWOOD DR
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City | MIDDLETOWN
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State | NY
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Zip | 10940-1802
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Country | US
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Telephone | 845-645-1253
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | RAJEEV PUTTASWAMY
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Credential | SLP
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Telephone | 845-645-1253
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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 |
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License Number State |
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