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General NPI Number Information
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NPI Number | 1184381618
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Entity Type | Organization
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Legal Business Name | JOANNE W. CAZEAU LLC
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Dates
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Enumeration Date | 11/18/2021
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Last Update Date | 11/21/2021
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Provider Practice Location Address
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Address Line | 267 THOMPSON AVE
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City | ENGLEWOOD
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State | NJ
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Zip | 07631-3809
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Country | US
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Telephone | 551-998-9188
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Fax |
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Provider Business Mailing Address
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Address Line | 267 THOMPSON AVE
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City | ENGLEWOOD
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State | NJ
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Zip | 07631-3809
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Country | US
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Telephone | 201-608-3233
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JOANNE CAZEAU
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Credential | M.S. CCC-SLP
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Telephone | 201-608-3233
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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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