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General NPI Number Information
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NPI Number | 1467606103
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Entity Type | Individual
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Provider Name | YISRAEL SCHECTER CCC-SLP
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Gender | Male
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Dates
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Enumeration Date | 11/07/2008
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Last Update Date | 12/01/2010
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Provider Practice Location Address
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Address Line | 12480 HILLCREST RD. D-11
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City | DALLAS
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State | TX
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Zip | 75230
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Country | US
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Telephone | 972-364-9085
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Fax |
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Provider Business Mailing Address
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Address Line | 42 MILLER RD
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City | LAKEWOOD
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State | NJ
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Zip | 08701-2918
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Country | US
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Telephone | 732-779-6030
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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 | 41YS00448800
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License Number State | NJ
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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 | 106318
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License Number State | TX
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