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General NPI Number Information
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NPI Number | 1477817591
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Entity Type | Organization
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Legal Business Name | ELLEN PERLIN MARTIN
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Dates
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Enumeration Date | 07/03/2012
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Last Update Date | 07/03/2012
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Provider Practice Location Address
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Address Line | 81 BEACON HILL RD
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City | ARDSLEY
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State | NY
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Zip | 10502-1632
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Country | US
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Telephone | 914-674-4263
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Fax |
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Provider Business Mailing Address
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Address Line | 81 BEACON HILL RD
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City | ARDSLEY
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State | NY
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Zip | 10502-1632
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Country | US
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Telephone | 914-674-4263
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Fax |
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Authorized Official
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Title or Position | TEACHER OF SPEECH AND HEARING
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Name | ELLEN PERLIN MARTIN
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Credential |
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Telephone | 917-991-8617
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State | NY
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