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General NPI Number Information
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NPI Number | 1518637859
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Entity Type | Organization
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Legal Business Name | MISS IRENE'S SPEECH THERAPY P.C.
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Dates
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Enumeration Date | 09/17/2021
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Last Update Date | 09/17/2021
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Provider Practice Location Address
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Address Line | 1207 CREEKSIDE DR
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City | CONOVER
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State | NC
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Zip | 28613-9175
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Country | US
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Telephone | 914-393-4665
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Fax |
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Provider Business Mailing Address
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Address Line | 1207 CREEKSIDE DR
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City | CONOVER
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State | NC
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Zip | 28613-9175
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Country | US
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Telephone | 914-393-4665
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MS. IRENE SPALLINO
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Credential | SLP, MS-CCC
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Telephone | 914-393-4665
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0700X
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Taxonomy Name | Hearing and Speech Clinic/Center
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License Number |
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License Number State |
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