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NPI 1548963259

NPI 1548963259 : ALENA MAHAS SPEECH LANGUAGE PATHOLOGY P C : OYSTER BAY, NY

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General NPI Number Information
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    NPI Number           |    1548963259
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    Entity Type          |    Organization 
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    Legal Business Name  |    ALENA MAHAS SPEECH LANGUAGE PATHOLOGY P C 
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Dates
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    Enumeration Date     |    03/22/2023
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    Last Update Date     |    02/12/2024
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Provider Practice Location Address
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    Address Line         |    10 AMBER LN 
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    City                 |    OYSTER BAY
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    State                |    NY
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    Zip                  |    11771-3115
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    Country              |    US
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    Telephone            |    347-770-4009
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    Fax                  |    888-634-3483
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Provider Business Mailing Address
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    Address Line         |    10 AMBER LN 
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    City                 |    OYSTER BAY
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    State                |    NY
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    Zip                  |    11771-3115
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    Country              |    US
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    Telephone            |    347-770-4009
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    Fax                  |    888-634-3483
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Authorized Official
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    Title or Position    |    FOUNDER OF ALENA MAHAS SLP, PC
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    Name                 |     ALENA  MAHAS 
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    Credential           |    MS CCC-SLP TSSLD
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    Telephone            |    718-791-5013
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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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