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General NPI Number Information
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NPI Number | 1366927147
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Entity Type | Organization
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Legal Business Name | HOPE SPEECH PATHOLOGY PLLC
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Dates
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Enumeration Date | 09/27/2018
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Last Update Date | 02/03/2020
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Provider Practice Location Address
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Address Line | 3075 SOUTHWESTERN BLVD STE 204
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City | ORCHARD PARK
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State | NY
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Zip | 14127-1236
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Country | US
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Telephone | 716-608-3366
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Fax | 716-322-2566
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Provider Business Mailing Address
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Address Line | 3075 SOUTHWESTERN BLVD STE 204
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City | ORCHARD PARK
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State | NY
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Zip | 14127-1236
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Country | US
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Telephone | 716-608-3366
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Fax | 716-322-2566
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Authorized Official
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Title or Position | OWNER& CERTIFIED SPEECH LANGUAGE PA
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Name | AMY SUMBRUM
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Credential | CCC-SLP
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Telephone | 716-608-3366
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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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