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General NPI Number Information
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NPI Number | 1508118241
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Entity Type | Organization
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Legal Business Name | SCHALMONT MIDDLE SCHOOL
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Dates
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Enumeration Date | 10/04/2012
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Last Update Date | 10/04/2012
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Provider Practice Location Address
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Address Line | 2 SABRE DR
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City | SCHENECTADY
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State | NY
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Zip | 12306-1005
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Country | US
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Telephone | 518-355-6255
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Fax | 518-355-5309
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Provider Business Mailing Address
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Address Line | 2 SABRE DRIVE
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City | SCHENECTADY
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State | NY
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Zip | 12306
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Country | US
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Telephone | 518-355-6255
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Fax | 518-355-5309
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Authorized Official
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Title or Position | SPEECH LANGUAGE PATHOLOGIST
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Name | MRS. KAREN L PASSINO
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Credential | MS SLP
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Telephone | 518-355-6255
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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 | 58012846
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License Number State | NY
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