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General NPI Number Information
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NPI Number | 1407778095
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Entity Type | Organization
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Legal Business Name | THE SPEECH AND LANGUAGE PRACTICE PLLC
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Dates
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Enumeration Date | 07/27/2026
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Last Update Date | 07/27/2026
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Provider Practice Location Address
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Address Line | 248 PATCHEN AVE APT 3
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City | BROOKLYN
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State | NY
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Zip | 11233-1907
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Country | US
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Telephone | 845-500-3723
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Fax |
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Provider Business Mailing Address
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Address Line | 248 PATCHEN AVE APT 3
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City | BROOKLYN
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State | NY
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Zip | 11233-1907
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Country | US
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Telephone | 845-500-3723
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Fax |
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Authorized Official
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Title or Position | CCC-SLP
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Name | MRS. IZABELLA NORAE BARTOLOME
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Credential | MS
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Telephone | 845-500-3723
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QS1000X
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Taxonomy Name | Student Health Clinic/Center
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License Number |
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License Number State |
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