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NPI 1578426615

NPI 1578426615 : TRUE PATH SPEECH THERAPY PLLC : FAIRPORT, NY

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General NPI Number Information
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    NPI Number           |    1578426615
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    Entity Type          |    Organization 
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    Legal Business Name  |    TRUE PATH SPEECH THERAPY PLLC 
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Dates
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    Enumeration Date     |    12/05/2025
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    Last Update Date     |    12/05/2025
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Provider Practice Location Address
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    Address Line         |    315 PACKETTS LNDG 
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    City                 |    FAIRPORT
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    State                |    NY
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    Zip                  |    14450-1567
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    Country              |    US
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    Telephone            |    315-806-7353
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    280 COLLINGWOOD DR 
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    City                 |    ROCHESTER
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    State                |    NY
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    Zip                  |    14621-1017
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    Country              |    US
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    Telephone            |    315-806-7353
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    Fax                  |    
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Authorized Official
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    Title or Position    |    SPEECH-LANGUAGE PATHOLOGIST
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    Name                 |    MRS. MAKENZIE  DODSKI 
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    Credential           |    M.S, CCC-SLP, TSSLD
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    Telephone            |    315-806-7353
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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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