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General NPI Number Information
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NPI Number | 1205501640
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Entity Type | Organization
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Legal Business Name | TALK TO ME SLP PLLC
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Dates
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Enumeration Date | 08/09/2021
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Last Update Date | 08/09/2021
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Provider Practice Location Address
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Address Line | 44 LYLE CT
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City | STATEN ISLAND
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State | NY
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Zip | 10306-1142
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Country | US
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Telephone | 917-579-3161
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Fax |
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Provider Business Mailing Address
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Address Line | 4 CONSTELLATION PL APT 411
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City | JERSEY CITY
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State | NJ
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Zip | 07305-5496
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | SPEECH LANGUAGE PATHOLOGIST
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Name | INGRID MARYANSKY
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Credential | MS CCC-SLP TSSLD
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Telephone | 917-579-3161
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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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