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General NPI Number Information
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NPI Number | 1457772766
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Entity Type | Individual
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Provider Name | MRS. LAUREN GATTI
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Gender | Female
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Dates
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Enumeration Date | 01/04/2014
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Last Update Date | 09/14/2022
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Provider Practice Location Address
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Address Line | 453 CORTELYOU AVE
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City | STATEN ISLAND
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State | NY
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Zip | 10312-3802
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Country | US
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Telephone | 718-317-1088
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Fax |
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Provider Business Mailing Address
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Address Line | 5 ALPHA AVE
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City | OLD BRIDGE
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State | NJ
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Zip | 08857-2209
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Country | US
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Telephone | 917-696-1569
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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 | 022339-1
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License Number State | NY
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