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General NPI Number Information
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NPI Number | 1497895247
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Entity Type | Individual
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Provider Name | JULIE PAIGE EISENSTEIN SLP
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Gender | Female
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Dates
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Enumeration Date | 02/08/2007
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Last Update Date | 11/04/2019
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Provider Practice Location Address
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Address Line | 3391 RICHMOND AVE
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City | STATEN ISLAND
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State | NY
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Zip | 10312-2025
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Country | US
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Telephone | 917-531-4593
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Fax |
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Provider Business Mailing Address
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Address Line | 360 FURMAN ST 810
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City | BROOKLYN
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State | NY
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Zip | 11201-4574
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Country | US
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Telephone | 347-529-5428
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Fax | 888-881-2475
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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 | 010712-1
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License Number State | NY
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