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General NPI Number Information
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NPI Number | 1245522713
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Entity Type | Organization
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Legal Business Name | ROSS SLP SERVICES, PC
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Dates
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Enumeration Date | 05/03/2011
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Last Update Date | 10/01/2012
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Provider Practice Location Address
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Address Line | 15 BUCKINGHAM MEADOW RD
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City | SETAUKET
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State | NY
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Zip | 11733-1953
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Country | US
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Telephone | 631-732-0582
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Fax |
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Provider Business Mailing Address
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Address Line | 15 BUCKINGHAM MEADOW RD
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City | SETAUKET
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State | NY
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Zip | 11733-1953
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Country | US
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Telephone | 631-732-0582
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. SUZANNE ROSS
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Credential | MS, CCC-SLP
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Telephone | 631-732-0582
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 010015-1
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License Number State | NY
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