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General NPI Number Information
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NPI Number | 1417213570
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Entity Type | Individual
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Provider Name | LISAROSE MAHANEY MCCABE SLPD, CCC-SLP
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Gender | Female
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Dates
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Enumeration Date | 04/03/2012
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Last Update Date | 04/23/2025
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Provider Practice Location Address
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Address Line | 2 HOSPITAL DR
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City | PLAINSBORO
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State | NJ
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Zip | 08536-2191
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Country | US
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Telephone | 877-407-3422
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Fax | 877-407-4329
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Provider Business Mailing Address
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Address Line | 180 TERRACE AVE
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City | HASBROUCK HEIGHTS
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State | NJ
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Zip | 07604-1823
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Country | US
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Telephone | 201-519-9283
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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 | SA16250
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 41YS00718600
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License Number State | NJ
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