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General NPI Number Information
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NPI Number | 1407302672
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Entity Type | Individual
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Provider Name | CHRISTINA ANDRETTA M.A.
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Gender | Female
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Dates
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Enumeration Date | 08/28/2016
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Last Update Date | 08/28/2016
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Provider Practice Location Address
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Address Line | 1225 FRANKLIN AVE 325
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City | GARDEN CITY
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State | NY
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Zip | 11530-1691
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Country | US
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Telephone | 516-512-8905
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Fax |
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Provider Business Mailing Address
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Address Line | 1242 OAKFIELD AVE
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City | WANTAGH
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State | NY
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Zip | 11793-2340
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Country | US
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Telephone | 516-557-9402
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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 |
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