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General NPI Number Information
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NPI Number | 1265110241
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Entity Type | Individual
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Provider Name | FELICITA E CHIPAK
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Gender | Female
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Dates
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Enumeration Date | 07/10/2023
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Last Update Date | 07/10/2023
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Provider Practice Location Address
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Address Line | 10 MAIN ST
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City | NEW PALTZ
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State | NY
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Zip | 12561-1762
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Country | US
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Telephone | 914-388-2516
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Fax |
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Provider Business Mailing Address
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Address Line | 180 SALEM STREET PO BOX 998
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City | PORT EWEN
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State | NY
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Zip | 12466-0998
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Country | US
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Telephone | 845-332-7848
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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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