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General NPI Number Information
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NPI Number | 1366787491
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Entity Type | Organization
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Legal Business Name | PIGI'S WORLD
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Dates
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Enumeration Date | 11/29/2012
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Last Update Date | 11/29/2012
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Provider Practice Location Address
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Address Line | 1120 BRIGHTON BEACH AVE APT 1C
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City | BROOKLYN
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State | NY
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Zip | 11235-5519
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Country | US
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Telephone | 347-866-9817
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Fax |
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Provider Business Mailing Address
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Address Line | 1120 BRIGHTON BEACH AVE APT 1C
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City | BROOKLYN
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State | NY
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Zip | 11235-5519
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Country | US
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Telephone | 347-866-9817
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | LYNN ROSENBERG
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Credential | MS-SLP, TSSLD
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Telephone | 347-866-9817
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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 | 020354
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License Number State | NY
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