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General NPI Number Information
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NPI Number | 1508933706
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Entity Type | Individual
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Provider Name | MS. LAURA R WACHTEL
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Gender | Female
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Dates
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Enumeration Date | 11/30/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 1 SKYLINE DR SUITE 298
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City | HAWTHORNE
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State | NY
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Zip | 10532-2157
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Country | US
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Telephone | 914-345-2400
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Fax | 914-345-2665
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Provider Business Mailing Address
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Address Line | 1 SKYLINE DR SUITE 298
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City | HAWTHORNE
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State | NY
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Zip | 10532-2157
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Country | US
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Telephone | 914-345-2400
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Fax | 914-345-2665
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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 | 231H00000X
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Taxonomy Name | Audiologist
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License Number | 011654-1
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License Number State | NY
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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 | 011654-1
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License Number State | NY
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