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General NPI Number Information
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NPI Number | 1275204174
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Entity Type | Organization
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Legal Business Name | TOUCAN TALK, LLC
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Dates
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Enumeration Date | 09/22/2021
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Last Update Date | 01/31/2025
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Provider Practice Location Address
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Address Line | 501 CHURCH ST NE STE 211
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City | VIENNA
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State | VA
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Zip | 22180-4734
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Country | US
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Telephone | 410-428-7613
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Fax |
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Provider Business Mailing Address
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Address Line | 4441 PURVES ST APT 409
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City | LONG ISLAND CITY
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State | NY
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Zip | 11101-2977
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Country | US
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Telephone | 410-428-7613
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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 | NADDA DIASTI
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Credential | MA, CCC-SLP, IBCLC
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Telephone | 410-428-7613
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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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