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General NPI Number Information
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NPI Number | 1255705398
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Entity Type | Organization
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Legal Business Name | JM INTERVENTION, INC.
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Dates
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Enumeration Date | 11/29/2015
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Last Update Date | 11/29/2015
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Provider Practice Location Address
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Address Line | 1 VAN DER DONCK ST STE 403
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City | YONKERS
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State | NY
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Zip | 10701-7049
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Country | US
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Telephone | 917-449-9321
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Fax |
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Provider Business Mailing Address
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Address Line | 1 VAN DER DONCK ST STE 403
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City | YONKERS
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State | NY
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Zip | 10701-7049
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Country | US
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Telephone | 917-449-9321
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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 | MS. JENAE MCPHATTER
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Credential | CCC-SLP
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Telephone | 917-449-9321
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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 | 020810-1
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License Number State | NY
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