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General NPI Number Information
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NPI Number | 1447948229
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Entity Type | Individual
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Provider Name | EMMA CAITLIN BAGNATO CCC-SLP
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Gender | Female
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Dates
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Enumeration Date | 04/28/2023
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Last Update Date | 12/02/2025
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Provider Practice Location Address
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Address Line | 1807 WESTERN AVE
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City | ALBANY
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State | NY
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Zip | 12203-4601
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Country | US
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Telephone | 518-417-1460
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Fax |
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Provider Business Mailing Address
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Address Line | 1161 HIGHBRIDGE RD
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City | SCHENECTADY
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State | NY
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Zip | 12303-2527
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Country | US
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Telephone | 845-392-7609
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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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