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General NPI Number Information
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NPI Number | 1154886554
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Entity Type | Organization
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Legal Business Name | BABBLING BROOK SPEECH AND LANGUAGE THERAPY, PLLC
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Dates
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Enumeration Date | 02/10/2019
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Last Update Date | 02/10/2019
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Provider Practice Location Address
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Address Line | 16 SCHOLAR LN
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City | COMMACK
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State | NY
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Zip | 11725-1224
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Country | US
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Telephone | 631-896-8725
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Fax | 631-858-9331
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Provider Business Mailing Address
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Address Line | 16 SCHOLAR LN
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City | COMMACK
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State | NY
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Zip | 11725-1224
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Country | US
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Telephone | 631-896-8725
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Fax | 631-858-9331
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Authorized Official
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Title or Position | OWNER/PROVIDER
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Name | MICHELLE P ASARO
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Credential | M.S., CCC-SLP, TSSLD
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Telephone | 347-450-8327
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0700X
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Taxonomy Name | Hearing and Speech Clinic/Center
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License Number |
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License Number State |
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