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General NPI Number Information
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NPI Number | 1538418090
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Entity Type | Organization
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Legal Business Name | COMMUNIKIDS NY SLP & OT, PLLC
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Dates
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Enumeration Date | 08/30/2012
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Last Update Date | 08/30/2012
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Provider Practice Location Address
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Address Line | 164 W 79TH ST APT 1C
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City | NEW YORK
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State | NY
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Zip | 10024-6440
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Country | US
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Telephone | 212-712-2014
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Fax |
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Provider Business Mailing Address
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Address Line | 164 W 79TH ST APT 1C
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City | NEW YORK
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State | NY
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Zip | 10024-6440
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Country | US
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Telephone | 212-712-2014
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATIVE DIRECTOR
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Name | MR. RUSSELL KAPLAN
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Credential |
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Telephone | 973-699-2363
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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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 | 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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