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General NPI Number Information
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NPI Number | 1407321821
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Entity Type | Organization
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Legal Business Name | SPEECH BUILDERS NJ LLC
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Dates
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Enumeration Date | 10/11/2018
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Last Update Date | 10/11/2018
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Provider Practice Location Address
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Address Line | 20 KELM WOODS AVE
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City | LAKEWOOD
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State | NJ
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Zip | 08701-2972
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Country | US
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Telephone | 732-415-8165
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Fax | 844-403-2991
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Provider Business Mailing Address
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Address Line | 20 KELM WOODS AVE
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City | LAKEWOOD
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State | NJ
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Zip | 08701-2972
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Country | US
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Telephone | 732-415-8165
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Fax | 844-403-2991
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Authorized Official
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Title or Position | PRESIDENT
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Name | ELIYOHU LANDAU
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Credential |
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Telephone | 732-415-8165
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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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