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General NPI Number Information
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NPI Number | 1558852509
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Entity Type | Organization
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Legal Business Name | CHATTING AWAY - SPEECH & LANGUAGE SERVICES LLC
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Dates
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Enumeration Date | 05/25/2018
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Last Update Date | 05/25/2018
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Provider Practice Location Address
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Address Line | 33 DAVENPORT AVE APT 1D
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City | NEW ROCHELLE
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State | NY
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Zip | 10805-3417
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Country | US
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Telephone | 646-474-1299
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Fax |
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Provider Business Mailing Address
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Address Line | 33 DAVENPORT AVE APT 1D
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City | NEW ROCHELLE
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State | NY
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Zip | 10805-3417
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Country | US
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Telephone | 646-474-1299
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Fax |
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Authorized Official
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Title or Position | SPEECH AND LANGUAGE PATHOLOGIST
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Name | MRS. CAROLINA PARDO ANDRADE
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Credential | M.S., SLP
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Telephone | 646-474-1299
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 252Y00000X
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Taxonomy Name | Early Intervention Provider Agency
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License Number | 021524
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License Number State | NY
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