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General NPI Number Information
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NPI Number | 1275097529
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Entity Type | Organization
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Legal Business Name | SPEECH LEARNERS LLC
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Dates
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Enumeration Date | 01/30/2019
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Last Update Date | 01/30/2019
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Provider Practice Location Address
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Address Line | 210 E COUNTY LINE RD
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City | LAKEWOOD
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State | NJ
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Zip | 08701-1813
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Country | US
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Telephone | 516-353-2076
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Fax |
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Provider Business Mailing Address
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Address Line | 210 E COUNTY LINE RD
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City | LAKEWOOD
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State | NJ
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Zip | 08701-1813
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Country | US
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Telephone | 516-353-2076
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | YOCHEVED R. SHERESHEVSKY
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Credential | SLP
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Telephone | 516-353-2076
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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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