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General NPI Number Information
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NPI Number | 1447380399
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Entity Type | Individual
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Provider Name | NANCY L. DATINO ED.M.,AU.D.
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Gender | Female
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Dates
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Enumeration Date | 03/07/2007
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Last Update Date | 10/28/2013
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Provider Practice Location Address
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Address Line | 350 THEODORE FREMD AVE
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City | RYE
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State | NY
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Zip | 10580-1573
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Country | US
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Telephone | 914-588-8088
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Fax |
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Provider Business Mailing Address
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Address Line | 323 WAGNER AVE
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City | MAMARONECK
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State | NY
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Zip | 10543-2837
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Country | US
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Telephone | 914-630-0724
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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 | 231H00000X
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Taxonomy Name | Audiologist
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License Number | 000653-1
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License Number State | NY
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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 | 007546-1
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 004589
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License Number State | CT
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