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General NPI Number Information
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NPI Number | 1538035688
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Entity Type | Organization
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Legal Business Name | ELEVATE SPEECH, PHYSICAL, OCCUPATIONAL THERAPY, PLLC
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Dates
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Enumeration Date | 10/15/2025
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Last Update Date | 10/15/2025
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Provider Practice Location Address
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Address Line | 44 VARET ST
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City | BROOKLYN
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State | NY
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Zip | 11206-4014
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Country | US
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Telephone | 718-701-7300
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Fax |
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Provider Business Mailing Address
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Address Line | 44 VARET ST
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City | BROOKLYN
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State | NY
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Zip | 11206-4014
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CLINICAL DIRECTOR
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Name | NICOLE YEHEZKEL
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Credential | M.S., CCC-SLP, TSSLD
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Telephone | 718-608-7846
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 252Y00000X
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Taxonomy Name | Early Intervention Provider Agency
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License Number |
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License Number State |
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