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General NPI Number Information
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NPI Number | 1518436716
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Entity Type | Organization
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Legal Business Name | CYNTHIA SIMONETTI, LLC
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Dates
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Enumeration Date | 11/16/2018
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Last Update Date | 05/17/2019
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Provider Practice Location Address
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Address Line | 5 CALIENTE RD STE 5
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City | SANTA FE
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State | NM
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Zip | 87508-9100
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Country | US
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Telephone | 505-470-2248
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Fax |
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Provider Business Mailing Address
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Address Line | 53 ESTAMBRE RD
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City | SANTA FE
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State | NM
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Zip | 87508-2152
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Country | US
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Telephone | 505-470-2248
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Fax |
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Authorized Official
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Title or Position | SPEECH-LANGUAGE PATHOLOGIST
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Name | CYNTHIA SIMONETTI
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Credential | MA, CCC-SLP
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Telephone | 505-470-2248
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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 |
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License Number State |
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