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General NPI Number Information
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NPI Number | 1336716778
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Entity Type | Organization
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Legal Business Name | SPEAK THROUGH PLAY SPEECH LANGUAGE THERAPY, PLLC
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Dates
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Enumeration Date | 06/04/2021
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Last Update Date | 06/04/2021
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Provider Practice Location Address
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Address Line | 7 RYE RIDGE PLZ STE 126
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City | RYE BROOK
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State | NY
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Zip | 10573-2822
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Country | US
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Telephone | 914-226-0118
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Fax |
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Provider Business Mailing Address
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Address Line | 32 AUSTIN PL
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City | PORT CHESTER
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State | NY
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Zip | 10573-2702
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Country | US
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Telephone | 914-226-0118
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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 | LUPE BUTEN
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Credential |
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Telephone | 914-226-0118
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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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