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General NPI Number Information
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NPI Number | 1306752530
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Entity Type | Organization
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Legal Business Name | JUST SPEECHY SPEECH LANGUAGE AND FEEDING SERVICES LLC
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Dates
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Enumeration Date | 08/19/2026
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Last Update Date | 08/19/2026
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Provider Practice Location Address
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Address Line | 8007 HOLLIS HILLS TER
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City | QUEENS VILLAGE
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State | NY
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Zip | 11427-1016
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Country | US
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Telephone | 917-742-4785
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Fax |
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Provider Business Mailing Address
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Address Line | 8007 HOLLIS HILLS TER
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City | QUEENS VILLAGE
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State | NY
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Zip | 11427-1016
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Country | US
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Telephone | 917-742-4785
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Fax |
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Authorized Official
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Title or Position | SPEECH LANGUAGE PATHOLOGIST/OWNER
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Name | DIANA SHIMONOVA
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Credential | MS, CCC-SLP
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Telephone | 917-742-4785
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number |
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License Number State |
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Taxonomy #4
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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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