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General NPI Number Information
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NPI Number | 1528442498
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Entity Type | Organization
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Legal Business Name | HUDSON VALLEY SPEECH AND SWALLOWING THERAPY, PLLC
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Dates
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Enumeration Date | 07/10/2015
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Last Update Date | 07/10/2015
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Provider Practice Location Address
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Address Line | 815 BLOOMING GROVE TPKE
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City | NEW WINDSOR
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State | NY
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Zip | 12553-8135
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Country | US
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Telephone | 845-527-2089
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Fax | 845-569-3011
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Provider Business Mailing Address
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Address Line | 815 BLOOMING GROVE TPKE
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City | NEW WINDSOR
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State | NY
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Zip | 12553-8135
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Country | US
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Telephone | 845-527-2089
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Fax | 845-569-3011
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Authorized Official
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Title or Position | OWNER / SPEECH-LANGUAGE PATHOLOGIST
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Name | JENNIFER BRADY
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Credential | M.S. CCC-SLP
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Telephone | 845-527-2089
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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 | 024479
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License Number State | NY
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