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NPI 1376280610

NPI 1376280610 : COMMUNICATION ALLIES SPEECH AND LANGUAGE THERAPY : NORTH BALDWIN, NY

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General NPI Number Information
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    NPI Number           |    1376280610
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    Entity Type          |    Organization 
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    Legal Business Name  |    COMMUNICATION ALLIES SPEECH AND LANGUAGE THERAPY 
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Dates
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    Enumeration Date     |    05/18/2022
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    Last Update Date     |    05/18/2022
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Provider Practice Location Address
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    Address Line         |    863 LORENZ AVE 
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    City                 |    NORTH BALDWIN
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    State                |    NY
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    Zip                  |    11510-2822
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    Country              |    US
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    Telephone            |    718-640-6993
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    Fax                  |    516-630-3577
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Provider Business Mailing Address
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    Address Line         |    863 LORENZ AVE 
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    City                 |    NORTH BALDWIN
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    State                |    NY
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    Zip                  |    11510-2822
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    Country              |    US
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    Telephone            |    718-640-6993
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    Fax                  |    516-630-3577
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Authorized Official
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    Title or Position    |    FOUNDER-CEO
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    Name                 |     JULIE ANN ROSADO 
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    Credential           |    M.S. CCC/SLP
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    Telephone            |    718-640-6993
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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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