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General NPI Number Information
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NPI Number | 1205080801
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Entity Type | Organization
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Legal Business Name | LEVI SPEECH THERAPY SERVICES
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Dates
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Enumeration Date | 11/09/2008
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Last Update Date | 09/22/2010
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Provider Practice Location Address
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Address Line | 106 MCNAMARA RD
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City | SPRING VALLEY
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State | NY
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Zip | 10977-1406
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Country | US
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Telephone | 845-323-8631
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Fax |
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Provider Business Mailing Address
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Address Line | 106 MCNAMARA RD
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City | SPRING VALLEY
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State | NY
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Zip | 10977-1406
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Country | US
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Telephone | 845-323-8631
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. YAAKOV E LEVI
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Credential | MSCCCSLP
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Telephone | 845-323-8631
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 252Y00000X
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Taxonomy Name | Early Intervention Provider Agency
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License Number | 009513
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 252Y00000X
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Taxonomy Name | Early Intervention Provider Agency
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License Number | 009877
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License Number State | NY
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