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General NPI Number Information
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NPI Number | 1437649894
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Entity Type | Individual
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Provider Name | MARIA GRACE LUCIA-PRESTA CCC-SLP
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Gender | Female
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Dates
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Enumeration Date | 05/11/2018
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Last Update Date | 11/07/2022
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Provider Practice Location Address
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Address Line | 963 SCARSDALE RD
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City | SCARSDALE
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State | NY
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Zip | 10583-4852
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Country | US
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Telephone | 914-810-2237
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Fax |
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Provider Business Mailing Address
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Address Line | 165 OAKLAND AVE
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City | EASTCHESTER
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State | NY
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Zip | 10709-5403
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Country | US
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Telephone | 914-419-5148
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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 | 02860-1
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License Number State | NY
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