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General NPI Number Information
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NPI Number | 1558522524
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Entity Type | Individual
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Provider Name | SHELLI FLACINSKI MS-CCC-SLP
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Gender | Female
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Dates
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Enumeration Date | 06/22/2008
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Last Update Date | 07/15/2008
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Provider Practice Location Address
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Address Line | 1938 RTE 6
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City | CARMEL
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State | NY
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Zip | 10512
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Country | US
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Telephone | 845-797-0600
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Fax |
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Provider Business Mailing Address
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Address Line | 36 APPALACHIAN W
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City | HOPEWELL JUNCTION
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State | NY
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Zip | 12533-6711
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Country | US
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Telephone | 845-897-5857
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 005554-1
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License Number State | NY
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