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General NPI Number Information
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NPI Number | 1174836746
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Entity Type | Individual
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Provider Name | MS. JAMIE HELLER
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Gender | Female
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Dates
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Enumeration Date | 07/23/2010
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Last Update Date | 07/23/2010
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Provider Practice Location Address
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Address Line | 15 PARK PL
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City | BRONXVILLE
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State | NY
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Zip | 10708-4129
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Country | US
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Telephone | 914-924-5352
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Fax |
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Provider Business Mailing Address
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Address Line | 345 MAIN ST APT 4C
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City | WHITE PLAINS
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State | NY
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Zip | 10601-3660
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Country | US
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Telephone | 914-924-5352
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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 | 020024-1
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License Number State | NY
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