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General NPI Number Information
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NPI Number | 1417279902
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Entity Type | Organization
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Legal Business Name | OPEN LINES SPEECH AND COMMUNICATION PLLC
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Dates
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Enumeration Date | 02/24/2010
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Last Update Date | 07/28/2011
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Provider Practice Location Address
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Address Line | 352 7TH AVE. SUITE 305
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City | NEW YORK
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State | NY
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Zip | 10001-5012
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Country | US
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Telephone | 212-430-6800
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Fax | 888-807-7794
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Provider Business Mailing Address
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Address Line | 352 7TH AVE SUITE 305
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City | NEW YORK
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State | NY
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Zip | 10001-5012
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Country | US
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Telephone | 212-430-6800
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Fax | 888-807-7794
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Authorized Official
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Title or Position | OWNER;SPEECHPATHOLOGIST;RESEARCHSCI
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Name | DR. JESSICA FAY GALGANO
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Credential | PHD
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Telephone | 212-430-6800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0400X
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Taxonomy Name | Rehabilitation Clinic/Center
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License Number | 0142901
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License Number State | NY
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