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General NPI Number Information
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NPI Number | 1295399285
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Entity Type | Organization
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Legal Business Name | VALERIYA YAVICH SPEECH PLLC
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Dates
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Enumeration Date | 04/25/2019
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Last Update Date | 05/19/2023
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Provider Practice Location Address
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Address Line | 401 RUTLAND RD APT 6C
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City | BROOKLYN
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State | NY
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Zip | 11203-1538
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Country | US
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Telephone | 720-363-8750
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Fax |
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Provider Business Mailing Address
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Address Line | 401 RUTLAND RD APT 6C
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City | BROOKLYN
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State | NY
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Zip | 11203-1538
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Country | US
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Telephone | 720-363-8750
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Fax |
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Authorized Official
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Title or Position | SLP
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Name | VALERIYA YAVICH
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Credential | MS CCC SLP
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Telephone | 720-363-8750
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0700X
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Taxonomy Name | Hearing and Speech Clinic/Center
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License Number |
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License Number State |
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