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General NPI Number Information
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NPI Number | 1417847179
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Entity Type | Individual
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Provider Name | MS. KAYLA NICOLE MASIELLO
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Gender | Female
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Dates
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Enumeration Date | 07/05/2025
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Last Update Date | 07/05/2025
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Provider Practice Location Address
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Address Line | 400 SOUTH OYSTER BAY ROAD SUITE 102
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City | HICKSVILLE
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State | NY
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Zip | 11801
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Country | US
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Telephone | 516-595-7550
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Fax |
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Provider Business Mailing Address
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Address Line | 201-08 38TH AVENUE
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City | BAYSIDE
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State | NY
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Zip | 11361
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Country | US
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Telephone | 917-599-6213
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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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