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General NPI Number Information
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NPI Number | 1548034341
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Entity Type | Organization
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Legal Business Name | SENSORIELLE LLC
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Dates
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Enumeration Date | 11/13/2023
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Last Update Date | 11/13/2023
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Provider Practice Location Address
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Address Line | 1847 VICTORY BLVD LOWR LEVEL
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City | STATEN ISLAND
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State | NY
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Zip | 10314-3550
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Country | US
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Telephone | 917-916-6929
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Fax |
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Provider Business Mailing Address
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Address Line | 601 VILLA AVE
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City | STATEN ISLAND
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State | NY
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Zip | 10302-1948
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Country | US
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Telephone | 917-650-7418
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Fax |
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Authorized Official
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Title or Position | SR THERAPIST
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Name | VICTORIA TERELLE
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Credential | MS, CCC-SLP
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Telephone | 917-650-7418
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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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