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General NPI Number Information
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NPI Number | 1295480440
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Entity Type | Individual
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Provider Name | ANN FICI MS CCC-SLP TSSLD
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Gender | Female
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Dates
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Enumeration Date | 02/16/2022
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Last Update Date | 02/17/2022
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Provider Practice Location Address
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Address Line | 25 LITTLE PLAINS RD
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City | HUNTINGTON
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State | NY
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Zip | 11743-4550
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Country | US
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Telephone | 631-226-2330
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Fax |
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Provider Business Mailing Address
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Address Line | 250 LINCOLN BLVD
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City | HAUPPAUGE
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State | NY
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Zip | 11788-4400
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Country | US
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Telephone | 631-559-8192
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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 | 031659
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License Number State | NY
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