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General NPI Number Information
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NPI Number | 1588940324
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Entity Type | Individual
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Provider Name | PAULETTE A DAY CCC-SLP
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Gender | Female
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Dates
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Enumeration Date | 10/25/2011
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Last Update Date | 10/25/2011
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Provider Practice Location Address
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Address Line | 5700 WEST ST
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City | SANBORN
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State | NY
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Zip | 14132-9269
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Country | US
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Telephone | 716-250-3200
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Fax |
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Provider Business Mailing Address
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Address Line | 701 KAYMAR DR
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City | AMHERST
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State | NY
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Zip | 14228-3464
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Country | US
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Telephone | 716-525-1079
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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 | 007734
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License Number State | NY
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