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General NPI Number Information
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NPI Number | 1225941727
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Entity Type | Individual
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Provider Name | CHEYENNE PERRY SMOTHERGILL
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Gender | Female
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Dates
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Enumeration Date | 09/24/2026
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Last Update Date | 09/24/2026
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Provider Practice Location Address
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Address Line | 130 MONTAUK HWY UNIT F
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City | EAST MORICHES
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State | NY
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Zip | 11940-1153
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Country | US
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Telephone | 631-375-5313
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Fax |
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Provider Business Mailing Address
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Address Line | 211 HOUNSLOW RD
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City | SHIRLEY
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State | NY
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Zip | 11967-3238
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Country | US
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Telephone | 631-294-7049
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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 |
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License Number State | NY
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