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General NPI Number Information
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NPI Number | 1306760079
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Entity Type | Individual
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Provider Name | MS. ALEXA JACOVETTI
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Gender | Female
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Dates
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Enumeration Date | 08/06/2026
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Last Update Date | 08/06/2026
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Provider Practice Location Address
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Address Line | 400 S OYSTER BAY RD STE 102
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City | HICKSVILLE
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State | NY
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Zip | 11801-3500
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Country | US
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Telephone | 516-595-7550
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Fax | 631-389-2644
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Provider Business Mailing Address
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Address Line | 190 BETTE RD
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City | EAST MEADOW
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State | NY
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Zip | 11554-1305
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Country | US
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Telephone | 516-639-6423
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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 |
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License Number State | NY
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